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Sample records for category ii regimen

  1. Outcomes after chemotherapy with WHO category II regimen in a population with high prevalence of drug resistant tuberculosis.

    Directory of Open Access Journals (Sweden)

    Francine Matthys

    Full Text Available Standard short course chemotherapy is recommended by the World Health Organization to control tuberculosis worldwide. However, in settings with high drug resistance, first line standard regimens are linked with high treatment failure. We evaluated treatment outcomes after standardized chemotherapy with the WHO recommended category II retreatment regimen in a prison with a high prevalence of drug resistant tuberculosis (TB. A cohort of 233 culture positive TB patients was followed through smear microscopy, culture, drug susceptibility testing and DNA fingerprinting at baseline, after 3 months and at the end of treatment. Overall 172 patients (74% became culture negative, while 43 (18% remained positive at the end of treatment. Among those 43 cases, 58% of failures were determined to be due to treatment with an inadequate drug regimen and 42% to either an initial mixed infection or re-infection while under treatment. Overall, drug resistance amplification during treatment occurred in 3.4% of the patient cohort. This study demonstrates that treatment failure is linked to initial drug resistance, that amplification of drug resistance occurs, and that mixed infection and re-infection during standard treatment contribute to treatment failure in confined settings with high prevalence of drug resistance.

  2. Effectiveness of the standard WHO recommended retreatment regimen (category II for tuberculosis in Kampala, Uganda: a prospective cohort study.

    Directory of Open Access Journals (Sweden)

    Edward C Jones-López

    2011-03-01

    Full Text Available BACKGROUND: Each year, 10%-20% of patients with tuberculosis (TB in low- and middle-income countries present with previously treated TB and are empirically started on a World Health Organization (WHO-recommended standardized retreatment regimen. The effectiveness of this retreatment regimen has not been systematically evaluated. METHODS AND FINDINGS: From July 2003 to January 2007, we enrolled smear-positive, pulmonary TB patients into a prospective cohort to study treatment outcomes and mortality during and after treatment with the standardized retreatment regimen. Median time of follow-up was 21 months (interquartile range 12-33 months. A total of 29/148 (20% HIV-uninfected and 37/140 (26% HIV-infected patients had an unsuccessful treatment outcome. In a multiple logistic regression analysis to adjust for confounding, factors associated with an unsuccessful treatment outcome were poor adherence (adjusted odds ratio [aOR] associated with missing half or more of scheduled doses 2.39; 95% confidence interval (CI 1.10-5.22, HIV infection (2.16; 1.01-4.61, age (aOR for 10-year increase 1.59; 1.13-2.25, and duration of TB symptoms (aOR for 1-month increase 1.12; 1.04-1.20. All patients with multidrug-resistant TB had an unsuccessful treatment outcome. HIV-infected individuals were more likely to die than HIV-uninfected individuals (p<0.0001. Multidrug-resistant TB at enrollment was the only common risk factor for death during follow-up for both HIV-infected (adjusted hazard ratio [aHR] 17.9; 6.0-53.4 and HIV-uninfected (14.7; 4.1-52.2 individuals. Other risk factors for death during follow-up among HIV-infected patients were CD4<50 cells/ml and no antiretroviral treatment (aHR 7.4, compared to patients with CD4≥200; 3.0-18.8 and Karnofsky score <70 (2.1; 1.1-4.1; and among HIV-uninfected patients were poor adherence (missing half or more of doses (3.5; 1.1-10.6 and duration of TB symptoms (aHR for a 1-month increase 1.9; 1.0-3.5. CONCLUSIONS: The

  3. 14 CFR 61.67 - Category II pilot authorization requirements.

    Science.gov (United States)

    2010-01-01

    ... the applicant's Category II pilot authorization. (2) To be eligible for the practical test for an... 14 Aeronautics and Space 2 2010-01-01 2010-01-01 false Category II pilot authorization... TRANSPORTATION (CONTINUED) AIRMEN CERTIFICATION: PILOTS, FLIGHT INSTRUCTORS, AND GROUND INSTRUCTORS...

  4. Algebras of higher operads as enriched categories II

    CERN Document Server

    Batanin, Michael; Weber, Mark

    2009-01-01

    One of the open problems in higher category theory is the systematic construction of the higher dimensional analogues of the Gray tensor product. In this paper we continue the work of [7] to adapt the machinery of globular operads [4] to this task. The resulting theory includes the Gray tensor product of 2-categories and the Crans tensor product [12] of Gray categories. Moreover much of the previous work on the globular approach to higher category theory is simplified by our new foundations, and we illustrate this by giving an expedited account of many aspects of Cheng's analysis [11] of Trimble's definition of weak n-category. By way of application we obtain an "Ekmann-Hilton" result for braided monoidal 2-categories, and give the construction of a tensor product of A-infinity algebras.

  5. The inter-rater reliability of categories of auditory performance-II (CAP)-II

    OpenAIRE

    Gilmour, Louise

    2010-01-01

    The aim of the present study was to validate a modified version of the Categories of Auditory Performance (CAP) rating scale, the CAP-II. The CAP is a hierarchy rating scale which assesses a child?s functioning in everyday situations. It covers a range of auditory performance and also takes into consideration different developmental rates of children. Inter-rater reliability was assessed by participants rating benefits young children receive with cochlear implants (CI). Volunteers watched vid...

  6. Procedures for checking the effectiveness of the Security System of Radiological Facilities Cyclotrons category II (IAEA)

    International Nuclear Information System (INIS)

    According to the recommendation of the International Atomic Energy Agency (IAEA) Safety Series No. 107, the particle accelerator facilities category II must comply with some key requirements to ensure compliance with the goals of the Radiological Safety. The IAEA recommendation is accepted by the National Commission of Nuclear Energy (CNEN) the regulator of the use of nuclear energy in Brazil and investigated in their audits. The aim of this paper is to present procedures to ascertain the effectiveness of the Radiological Safety Facility cyclotrons category II. (author)

  7. Management of skin tears and stage II skin ulcers with two topical regimens: a study of cost minimization.

    Science.gov (United States)

    Villasin, J V; Vinson, J A; Igoe, M B; Hendricks, L

    1996-01-01

    A health-economic study of newly formed skin tears and stage II ulcers used an unblinded, comparative, parallel-group design to evaluate two topical regimens as to time required for complete healing and assessment of cost minimization. Thirty-six elderly patients, at risk for developing indolent wounds of the skin and underlying tissues, were assigned to receive either a saline spray and a topical antibiotic ointment (TAM, n = 14) or Dermagran Spray and Dermagran Ointment (DSO, n = 22). The 76 wounds that appeared in these patients had comparable pretreatment surface areas of 3.73 +/- 0.96 cm2 in the DSO group versus 5.57 +/- 1.13 cm2 in the TAM group (P = NS). All wounds were treated twice daily, starting within 24 hours of their appearance, until complete healing. The 19 wounds in the TAM group healed within 48.0 +/- 25.3 days versus 15.4 +/- 1.9 days for the 57 wounds in the DSO group (P < .05). The cost of wound management for a given patient was calculated by adding the costs of nursing labor and the amount of product consumed to effect complete healing. To this end, the cost of the TAM regimen was $323.23 +/- 171.70 versus $104.75 +/- 12.92 for the DSO regimen (P < .05). Results are presented in light of the increasing pressure on long-term care facilities to provide effective and affordable treatment.

  8. 50 CFR 229.4 - Requirements for Category I and II fisheries.

    Science.gov (United States)

    2010-10-01

    ... 50 Wildlife and Fisheries 7 2010-10-01 2010-10-01 false Requirements for Category I and II fisheries. 229.4 Section 229.4 Wildlife and Fisheries NATIONAL MARINE FISHERIES SERVICE, NATIONAL OCEANIC... FISHERIES UNDER THE MARINE MAMMAL PROTECTION ACT OF 1972 General Provisions § 229.4 Requirements...

  9. Design guide for category II reactors light and heavy water cooled reactors. [US DOE

    Energy Technology Data Exchange (ETDEWEB)

    Brynda, W J; Lobner, P R; Powell, R W; Straker, E A

    1978-05-01

    The Department of Energy (DOE), in the ERDA Manual, requires that all DOE-owned reactors be sited, designed, constructed, modified, operated, maintained, and decommissioned in a manner that gives adequate consideration to health and safety factors. Specific guidance pertinent to the safety of DOE-owned reactors is found in Chapter 0540 of the ERDA Manual. The purpose of this Design Guide is to provide additional guidance to aid the DOE facility contractor in meeting the requirement that the siting, design, construction, modification operation, maintainance, and decommissioning of DOW-owned reactors be in accordance with generally uniform standards, guide and codes which are comparable to those applied to similar reactors licensed by the Nuclear Regulatory Commission (NRC). This Design Guide deals principally with the design and functional requirements of Category II reactor structure, components, and systems.

  10. Financing of the category I and II state road maintenance in the Republic of Serbia

    Directory of Open Access Journals (Sweden)

    Borovac Života

    2015-01-01

    Full Text Available Investment in roads, apart from traffic benefits, has significant effect on development due to influence on overall commercial flows. Road maintenance works serve the purposes of built roads which are primarily to ensure safety of traffic flow, transport of population and goods, to connect people and to improve their living and working conditions. Maintenance works are required for protection of roads, as civil engineering structure, against damaging influences, or in other words real value and usability of road shall be kept (protection of previously invested capital. Therefore, roads have to be maintained continuously in order to be achieved undisturbed and safe traffic flow. Current traffic-economic development needs have surpassed available funds in great extent. Financing system of state roads of category I and II has not ensured sufficient and stable funds for the required level of investment.

  11. Revisiting dosing regimen using PK/PD modeling: the MODEL1 phase I/II trial of docetaxel plus epirubicin in metastatic breast cancer patients.

    Science.gov (United States)

    Hénin, Emilie; Meille, Christophe; Barbolosi, Dominique; You, Benoit; Guitton, Jérôme; Iliadis, Athanassios; Freyer, Gilles

    2016-04-01

    The MODEL1 trial is the first model-driven phase I/II dose-escalation study of densified docetaxel plus epirubicin administration in metastatic breast cancer patients, a regimen previously known to induce unacceptable life-threatening toxicities. The primary objective was to determine the maximum tolerated dose of this densified regimen. Study of the efficacy was a secondary objective. Her2-negative, hormone-resistant metastatic breast cancer patients were treated with escalating doses of docetaxel plus epirubicin every 2 weeks for six cycles with granulocyte colony stimulating factor support. A total of 16 patients were treated with total doses ranging from 85 to 110 mg of docetaxel plus epirubicin per cycle. Dose escalation was controlled by a non-hematological toxicity model. Dose densification was guided by a model of neutrophil kinetics, able to optimize docetaxel plus epirubicin dosing with respect to pre-defined acceptable levels of hematological toxicity while ensuring maximal efficacy. The densified treatment was safe since hematological toxicity was much lower compared to previous findings, and other adverse events were consistent with those observed with this regimen. The maximal tolerated dose was 100 mg given every 2 weeks. The response rate was 45 %; median progression-free survival was 10.4 months, whereas 54.6 months of median overall survival was achieved. The optimized docetaxel plus epirubicin dosing regimen led to fewer toxicities associated with higher efficacy as compared with standard or empirical densified dosing. This study suggests that model-driven dosage adjustment can lead to improved efficacy-toxicity balance in patients with cancer when several anticancer drugs are combined.

  12. A Phase I/II adaptive design to determine the optimal treatment regimen from a set of combination immunotherapies in high-risk melanoma.

    Science.gov (United States)

    Wages, Nolan A; Slingluff, Craig L; Petroni, Gina R

    2015-03-01

    In oncology, vaccine-based immunotherapy often investigates regimens that demonstrate minimal toxicity overall and higher doses may not correlate with greater immune response. Rather than determining the maximum tolerated dose, the goal of the study becomes locating the optimal biological dose, which is defined as a safe dose demonstrating the greatest immunogenicity, based on some predefined measure of immune response. Incorporation of adjuvants, new or optimized peptide vaccines, and combining vaccines with immune modulators may enhance immune response, with the aim of improving clinical response. Innovative dose escalation strategies are needed to establish the safety and immunogenicity of new immunologic combinations. We describe the implementation of an adaptive design for identifying the optimal treatment strategy in a multi-site, FDA-approved, phase I/II trial of a novel vaccination approach using long-peptides plus TLR agonists for resected stage IIB-IV melanoma. Operating characteristics of the design are demonstrated under various possible true scenarios via simulation studies. Overall performance indicates that the design is a practical Phase I/II adaptive method for use with combined immunotherapy agents. The simulation results demonstrate the method's ability to effectively recommend optimal regimens in a high percentage of trials with manageable sample sizes. The numerical results presented in this work include the type of simulation information that aid review boards in understanding design performance, such as average sample size and frequency of early trial termination, which we hope will augment early-phase trial design in cancer immunotherapy. PMID:25638752

  13. PREPARATION AIDS FOR THE DEVELOPMENT OF CATEGORY II QUALITY ASSURANCE PROJECT PLANS

    Science.gov (United States)

    Data collection activities performed for the Risk Reduction Engineering aboratory (RREL) of the U.S. Environmental Protection Agency are divided into tour categories, depending on the intended use of the data. uality Assurance (QA) Project Plans are written to ensure that project...

  14. Compensating for Language Deficits in Amnesia II: H.M.'s Spared versus Impaired Encoding Categories.

    Science.gov (United States)

    MacKay, Donald G; Johnson, Laura W; Hadley, Chris

    2013-03-27

    Although amnesic H.M. typically could not recall where or when he met someone, he could recall their topics of conversation after long interference-filled delays, suggesting impaired encoding for some categories of novel events but not others. Similarly, H.M. successfully encoded into internal representations (sentence plans) some novel linguistic structures but not others in the present language production studies. For example, on the Test of Language Competence (TLC), H.M. produced uncorrected errors when encoding a wide range of novel linguistic structures, e.g., violating reliably more gender constraints than memory-normal controls when encoding referent-noun, pronoun-antecedent, and referent-pronoun anaphora, as when he erroneously and without correction used the gender-inappropriate pronoun "her" to refer to a man. In contrast, H.M. never violated corresponding referent-gender constraints for proper names, suggesting that his mechanisms for encoding proper name gender-agreement were intact. However, H.M. produced no more dysfluencies, off-topic comments, false starts, neologisms, or word and phonological sequencing errors than controls on the TLC. Present results suggest that: (a) frontal mechanisms for retrieving and sequencing word, phrase, and phonological categories are intact in H.M., unlike in category-specific aphasia; (b) encoding mechanisms in the hippocampal region are category-specific rather than item-specific, applying to, e.g., proper names rather than words; (c) H.M.'s category-specific mechanisms for encoding referents into words, phrases, and propositions are impaired, with the exception of referent gender, person, and number for encoding proper names; and (d) H.M. overuses his intact proper name encoding mechanisms to compensate for his impaired mechanisms for encoding other functionally equivalent linguistic information.

  15. Nonassociative geometry in quasi-Hopf representation categories II: Connections and curvature

    Science.gov (United States)

    Barnes, Gwendolyn E.; Schenkel, Alexander; Szabo, Richard J.

    2016-08-01

    We continue our systematic development of noncommutative and nonassociative differential geometry internal to the representation category of a quasitriangular quasi-Hopf algebra. We describe derivations, differential operators, differential calculi and connections using universal categorical constructions to capture algebraic properties such as Leibniz rules. Our main result is the construction of morphisms which provide prescriptions for lifting connections to tensor products and to internal homomorphisms. We describe the curvatures of connections within our formalism, and also the formulation of Einstein-Cartan geometry as a putative framework for a nonassociative theory of gravity.

  16. Initial dosing regimen of vancomycin to achieve early therapeutic plasma concentration in critically ill patients with MRSA infection based on APACHE II score.

    Science.gov (United States)

    Imaura, Masaharu; Yokoyama, Haruko; Kohata, Yuji; Kanai, Riichiro; Kohyama, Tomoki; Idemitsu, Wataru; Maki, Yuichi; Igarashi, Takashi; Takahashi, Hiroyuki; Kanno, Hiroshi; Yamada, Yasuhiko

    2016-06-01

    It is essential to assure the efficacy of antimicrobials at the initial phase of therapy. However, increasing the volume of distribution (Vd) of hydrophilic antimicrobials in critically ill patients leads to reduced antimicrobial concentration in plasma and tissue, which may adversely affect the efficacy of that therapy. The aim of the present study was to establish a theoretical methodology for setting an appropriate level for initial vancomycin therapy in individual patients based on Acute Physiology and Chronic Health Evaluation (APACHE) II score. We obtained data from patients who received intravenous vancomycin for a suspected or definitively diagnosed Gram-positive bacterial infection within 72 h after admission to the intensive care unit. The Vd and elimination half-life (t 1/2) of vancomycin values were calculated using the Bayesian method, and we investigated the relationship between them and APACHE II score. There were significant correlations between APACHE II scores and Vd/actual body weight (ABW), as well as t 1/2 (r = 0.58, p < 0.05 and r = 0.74, p < 0.01, respectively). Our results suggested that the Vd and t 1/2 of vancomycin could be estimated using the following regression equations using APACHE II score.[Formula: see text] [Formula: see text]We found that APACHE II score was a useful index for predicting the Vd and t 1/2 of vancomycin, and used that to establish an initial vancomycin dosing regimen comprised of initial dose and administration interval for individual patients.

  17. Recognition of a category of responders to group II, slow-grower associated antigens amongst Kuwaiti senior school children, using a statistical model.

    Science.gov (United States)

    McManus, I C; Lockwood, D N; Stanford, J L; Shaaban, M A; Abdul Ati, M; Bahr, G M

    1988-12-01

    A mathematical model previously developed to test the validity of categorisation of skin test responders has been applied to data obtained from 3 age groups of Kuwaiti school children. Two specially designed sets of 4 new tuberculins were tested on senior school children to determine whether extra categories of responders might exist amongst them. Strong statistical evidence has been obtained that a proportion of the children respond to group ii, slow-grower associated antigen, creating a fourth responder category, but no evidence was found for responses to group iii, fast-grower associated antigen. The significance of group ii antigens in immune protection from tuberculosis has never been considered specifically. It is of special interest to note that responders to these antigens have been readily found in Kuwait, a country where BCG is thought to be effective, whereas no such category could be found in India or Sri Lanka, where the efficacy of the vaccine is less certain. PMID:3151531

  18. Procedures for checking the effectiveness of the Security System of Radiological Facilities Cyclotrons category II (IAEA); Procedimentos para verificacao da eficacia do sistema de Seguranca Radiologica de Instalacoes Ciclotrons ategoria II (AIEA)

    Energy Technology Data Exchange (ETDEWEB)

    Videira, Heber S.; Abe, Rubens; Buchpiguel, Carlos A., E-mail: Heber.videira@hcnet.usp.b [Universidade de Sao Paulo (HC/FM/USP), SP (Brazil). Faculdade de Medicina. Hospital das Clinicas

    2011-07-01

    According to the recommendation of the International Atomic Energy Agency (IAEA) Safety Series No. 107, the particle accelerator facilities category II must comply with some key requirements to ensure compliance with the goals of the Radiological Safety. The IAEA recommendation is accepted by the National Commission of Nuclear Energy (CNEN) the regulator of the use of nuclear energy in Brazil and investigated in their audits. The aim of this paper is to present procedures to ascertain the effectiveness of the Radiological Safety Facility cyclotrons category II. (author)

  19. Adhesive Categories

    DEFF Research Database (Denmark)

    Lack, Stephen; Sobocinski, Pawel

    2003-01-01

    We introduce adhesive categories, which are categories with structure ensuring that pushouts along monomorphisms are well-behaved. Many types of graphical structures used in computer science are shown to be examples of adhesive categories. Double-pushout graph rewriting generalises well...... to rewriting on arbitrary adhesive categories....

  20. Adhesive Categories

    DEFF Research Database (Denmark)

    Lack, Stephen; Sobocinski, Pawel

    2004-01-01

    We introduce adhesive categories, which are categories with structure ensuring that pushouts along monomorphisms are well-behaved. Many types of graphical structures used in computer science are shown to be examples of adhesive categories. Double-pushout graph rewriting generalises well...... to rewriting on arbitrary adhesive categories....

  1. Gonzalez Regimen (PDQ)

    Science.gov (United States)

    ... humans. These preclinical studies are done before any testing in humans is begun. Animal studies of the Gonzalez regimen looked at the ... regimen as a whole. There has been preclinical testing on the effects of pancreatic enzymes ... In 1999, an animal study tested the effect of different doses of ...

  2. Compensating for Language Deficits in Amnesia II: H.M.’s Spared versus Impaired Encoding Categories

    Directory of Open Access Journals (Sweden)

    Chris Hadley

    2013-03-01

    Full Text Available Although amnesic H.M. typically could not recall where or when he met someone, he could recall their topics of conversation after long interference-filled delays, suggesting impaired encoding for some categories of novel events but not others. Similarly, H.M. successfully encoded into internal representations (sentence plans some novel linguistic structures but not others in the present language production studies. For example, on the Test of Language Competence (TLC, H.M. produced uncorrected errors when encoding a wide range of novel linguistic structures, e.g., violating reliably more gender constraints than memory-normal controls when encoding referent-noun, pronoun-antecedent, and referent-pronoun anaphora, as when he erroneously and without correction used the gender-inappropriate pronoun “her” to refer to a man. In contrast, H.M. never violated corresponding referent-gender constraints for proper names, suggesting that his mechanisms for encoding proper name gender-agreement were intact. However, H.M. produced no more dysfluencies, off-topic comments, false starts, neologisms, or word and phonological sequencing errors than controls on the TLC. Present results suggest that: (a frontal mechanisms for retrieving and sequencing word, phrase, and phonological categories are intact in H.M., unlike in category-specific aphasia; (b encoding mechanisms in the hippocampal region are category-specific rather than item-specific, applying to, e.g., proper names rather than words; (c H.M.’s category-specific mechanisms for encoding referents into words, phrases, and propositions are impaired, with the exception of referent gender, person, and number for encoding proper names; and (d H.M. overuses his intact proper name encoding mechanisms to compensate for his impaired mechanisms for encoding other functionally equivalent linguistic information.

  3. Phase II trial of temozolomide plus concurrent whole-brain radiation followed by TNV regimen as adjuvant therapy for patients with newly diagnosed primary CNS lymphoma

    Directory of Open Access Journals (Sweden)

    Yong Wang

    2013-01-01

    Full Text Available Background: Primary central nervous system lymphoma (PCNSL is an aggressive extranodal non-Hodgkin′s lymphoma limited to the CNS. Treatment of PCNSL with high-dose methotrexate (HD-MTX-based chemotherapy and whole-brain radiotherapy (WBRT is associated with high rates of relapse and severe treatment-related neurotoxicity. Aim: To report our experience of treating newly diagnosed PCNSL with temozolomide, nedaplatin, and vincristine (TNV, as the replacement of HD-MTX, in combination with concurrent chemoradiotherapy. Materials and Methods: Newly diagnosed PCNSL patients were given concurrent temozolomide (75 mg/m 2 , orally daily during WBRT. Then, the TNV regimen was given after four weeks. The TNV regimen consisted of temozolomide (200 mg/m 2 orally: Days 1-5, nedaplatin (80 mg/m 2 intravenous: Day 1, and vincristine (1.4 mg/m 2 intravenous: Day 1. Each cycle was of a duration of four weeks and a maximum of six cycles were applied. The primary end point was response to treatment obtained by magnetic resonance imaging (MRI. Secondary end points were progression-free survival (PFS and fewer toxic effects. Results: The study subjects included 14 patients (median age: 53.5, median Karnofsky Performance Scale (KPS: 75. The median number of TNV cycles given was five. Response to treatment: Complete response in 12 (85.7% patients, partial response in 2 (14.3% patients, and none with progressive disease. The objective response rate was 100%, and median PFS was 21.4 months. Toxicity was relatively mild, which mainly included nausea in six and fatigue in five, grade 3-4 hematotoxicity in one, and abnormal liver functions in five patients. No neurotoxicity has been observed till date. Conclusion: The efficacy outcomes in this study are comparable to other reported HD-MTX-based regimens plus WBRT, with an added favorable toxicity profile. Prospective, randomized controlled trials are warranted to confirm such results.

  4. Classifying insulin regimens

    DEFF Research Database (Denmark)

    Neu, A; Lange, K; Barrett, T;

    2015-01-01

    Modern insulin regimens for the treatment of type 1 diabetes are highly individualized. The concept of an individually tailored medicine accounts for a broad variety of different insulin regimens applied. Despite clear recommendations for insulin management in children and adolescents with type 1...... diabetes there is little distinctiveness about concepts and the nomenclature is confusing. Even among experts similar terms are used for different strategies. The aim of our review--based on the experiences of the Hvidoere Study Group (HSG)--is to propose comprehensive definitions for current insulin...... variety of insulin regimens applied in each center, respectively. Furthermore, the understanding of insulin regimens has been persistently different between the centers since more than 20 yr. Not even the terms 'conventional' and 'intensified therapy' were used consistently among all members. Besides...

  5. Category Dynamical Systems and Skew Category Algebras

    CERN Document Server

    Öinert, Johan

    2010-01-01

    We introduce category dynamical systems as functors $s$ from a category $G$ to $\\Top^{\\rm op}$ and show that they define what we call skew category algebras $A \\ltimes^{\\sigma} G$. We study the connection between topological freeness of $s$ and, on the one hand, ideal properties of $A \\ltimes^{\\sigma} G$ and, on the other hand, maximal commutativity of $A$ in $A \\ltimes^{\\sigma} G$. In particular, we show that if $G$ is a groupoid and for each $e \\in \\ob(G)$ the group of all morphisms $e \\rightarrow e$ is countable and the topological space $s(e)$ is Tychonoff and Baire, then the following statements are equivalent: (i) $s$ is topologically free; (ii) if $I$ is a nonzero ideal of $A \\ltimes^{\\sigma} G$, then $I \\cap A \

  6. Category management

    OpenAIRE

    Jan BERAN

    2002-01-01

    Práce popisuje category management, jeho definice a vývoj. Stěžejní část práce se věnuje osmi krokům category management procesu a subjektům, které do tohoto procesu vstupují. Mezi osm kroku patří definování kategorie, analýza kategorie, hodnocení subjektů, stanovení cíle kategorie, taktická rozhodnutí, strategická rozhodnutí, implementace a zpětná vazba. Praktická část je zaměřena na deskripci konkrétního category management projektu a tento projekt je porovnán s teoretickými předpoklady....

  7. Symplectic Categories

    CERN Document Server

    Weinstein, Alan

    2009-01-01

    Quantization problems suggest that the category of symplectic manifolds and symplectomorphisms be augmented by the inclusion of canonical relations as morphisms. These relations compose well when a transversality condition is satisfied, but the failure of the most general compositions to be smooth manifolds means that the canonical relations do not comprise the morphisms of a category. We discuss several existing and potential remedies to the nontransversality problem. Some of these involve restriction to classes of lagrangian submanifolds for which the transversality property automatically holds. Others involve allowing lagrangian "objects" more general than submanifolds.

  8. A Phase II Study of a Paclitaxel-Based Chemoradiation Regimen With Selective Surgical Salvage for Resectable Locoregionally Advanced Esophageal Cancer: Initial Reporting of RTOG 0246

    International Nuclear Information System (INIS)

    Purpose: The strategy of definitive chemoradiation with selective surgical salvage in locoregionally advanced esophageal cancer was evaluated in a Phase II trial in Radiation Therapy Oncology Group (RTOG)-affiliated sites. Methods and Materials: The study was designed to detect an improvement in 1-year survival from 60% to 77.5% (α = 0.05; power = 80%). Definitive chemoradiation involved induction chemotherapy with 5-fluorouracil (5-FU) (650 mg/mg2/day), cisplatin (15 mg/mg2/day), and paclitaxel (200 mg/mg2/day) for two cycles, followed by concurrent chemoradiation with 50.4 Gy (1.8 Gy/fraction) and daily 5-FU (300 mg/mg2/day) with cisplatin (15 mg/mg2/day) over the first 5 days. Salvage surgical resection was considered for patients with residual or recurrent esophageal cancer who did not have systemic disease. Results: Forty-three patients with nonmetastatic resectable esophageal cancer were entered from Sept 2003 to March 2006. Forty-one patients were eligible for analysis. Clinical stage was ≥T3 in 31 patients (76%) and N1 in 29 patients (71%), with adenocarcinoma histology in 30 patients (73%). Thirty-seven patients (90%) completed induction chemotherapy followed by concurrent chemoradiation. Twenty-eight patients (68%) experienced Grade 3+ nonhematologic toxicity. Four treatment-related deaths were noted. Twenty-one patients underwent surgery following definitive chemoradiation because of residual (17 patients) or recurrent (3 patients) esophageal cancer,and 1 patient because of choice. Median follow-up of live patients was 22 months, with an estimated 1-year survival of 71%. Conclusions: In this Phase II trial (RTOG 0246) evaluating selective surgical salvage after definitive chemoradiation in locoregionally advanced esophageal cancer, the hypothesized 1-year RTOG survival rate (77.5%) was not achieved (1 year, 71%; 95% confidence interval< 54%–82%).

  9. A Phase II Study of a Paclitaxel-Based Chemoradiation Regimen With Selective Surgical Salvage for Resectable Locoregionally Advanced Esophageal Cancer: Initial Reporting of RTOG 0246

    Energy Technology Data Exchange (ETDEWEB)

    Swisher, Stephen G., E-mail: sswisher@mdanderson.org [Department of Thoracic and Cardiovascular Surgery, University of Texas M. D. Anderson Cancer Center, Houston, Texas (United States); Winter, Kathryn A. [Headquarters, Radiation Therapy Oncology Group Statistical Center, Philadelphia, Pennsylvania (United States); Komaki, Ritsuko U. [Department of Radiation Oncology, University of Texas M. D. Anderson Cancer Center, Houston, Texas (United States); Ajani, Jaffer A. [Department of Gastrointestinal Medical Oncology, University of Texas M. D. Anderson Cancer Center, Houston, Texas (United States); Wu, Tsung T. [Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota (United States); Hofstetter, Wayne L. [Department of Thoracic and Cardiovascular Surgery, University of Texas M. D. Anderson Cancer Center, Houston, Texas (United States); Konski, Andre A. [Radiation Oncology, Fox Chase Cancer Center, Philadelphia, Pennsylvania (United States); Willett, Christopher G. [Radiation Oncology, Duke University Medical Center, Durham, North Carolina (United States)

    2012-04-01

    Purpose: The strategy of definitive chemoradiation with selective surgical salvage in locoregionally advanced esophageal cancer was evaluated in a Phase II trial in Radiation Therapy Oncology Group (RTOG)-affiliated sites. Methods and Materials: The study was designed to detect an improvement in 1-year survival from 60% to 77.5% ({alpha} = 0.05; power = 80%). Definitive chemoradiation involved induction chemotherapy with 5-fluorouracil (5-FU) (650 mg/mg{sup 2}/day), cisplatin (15 mg/mg{sup 2}/day), and paclitaxel (200 mg/mg{sup 2}/day) for two cycles, followed by concurrent chemoradiation with 50.4 Gy (1.8 Gy/fraction) and daily 5-FU (300 mg/mg{sup 2}/day) with cisplatin (15 mg/mg{sup 2}/day) over the first 5 days. Salvage surgical resection was considered for patients with residual or recurrent esophageal cancer who did not have systemic disease. Results: Forty-three patients with nonmetastatic resectable esophageal cancer were entered from Sept 2003 to March 2006. Forty-one patients were eligible for analysis. Clinical stage was {>=}T3 in 31 patients (76%) and N1 in 29 patients (71%), with adenocarcinoma histology in 30 patients (73%). Thirty-seven patients (90%) completed induction chemotherapy followed by concurrent chemoradiation. Twenty-eight patients (68%) experienced Grade 3+ nonhematologic toxicity. Four treatment-related deaths were noted. Twenty-one patients underwent surgery following definitive chemoradiation because of residual (17 patients) or recurrent (3 patients) esophageal cancer,and 1 patient because of choice. Median follow-up of live patients was 22 months, with an estimated 1-year survival of 71%. Conclusions: In this Phase II trial (RTOG 0246) evaluating selective surgical salvage after definitive chemoradiation in locoregionally advanced esophageal cancer, the hypothesized 1-year RTOG survival rate (77.5%) was not achieved (1 year, 71%; 95% confidence interval< 54%-82%).

  10. Topoisomerase II alpha and TLE3 as predictive markers of response to anthracycline and taxane-containing regimens for neoadjuvant chemotherapy in breast cancer

    Directory of Open Access Journals (Sweden)

    Susini T

    2014-11-01

    Full Text Available Tommaso Susini,1 Barbara Berti,1 Carlo Carriero,1 Ketty Tavella,2 Jacopo Nori,3 Ermanno Vanzi,3 Cecilia Molino,1 Mariarosaria Di Tommaso,1 Marco Santini,1 Valeria Saladino,4 Simonetta Bianchi4 1Department of Health Science, Gynecology Section, 2Department of Health Science, Chemotherapy Section, University of Florence, Italy; 3Diagnostic Senology Unit, Azienda Ospedaliera-Universitaria Careggi, Florence, Italy; 4Department of Surgery and Translational Medicine, Pathology Unit, University of Florence, Italy Purpose: Anthracyclines and taxanes are considered the standard for neoadjuvant chemotherapy of breast cancer, although they are often associated with serious side effects and wide variability of individual response. In this study, we analyzed the value of topoisomerase II alpha (TOP2A and transducin-like enhancer of split 3 (TLE3 as predictive markers of response to therapy with anthracyclines and taxanes. Materials and methods: TOP2A and TLE3 protein expressions were evaluated using immunohistochemistry on 28 samples, obtained by core needle biopsy in patients with locally advanced breast carcinoma, subsequently subjected to epirubicin- and paclitaxel-based neoadjuvant chemotherapy. The immunohistochemical staining was correlated with the clinical response measured by the tumor size reduction evaluated by breast magnetic resonance imaging, prior and after chemotherapy, and by pathologic evaluation of the surgical specimen. Results: Neoadjuvant chemotherapy achieved a size reduction in 26/28 tumors (92.9%, with an average percentage decrease of 45.6%. A downstaging was achieved in 71.4% of the cases of locally advanced carcinoma. TOP2A positivity was correlated with a greater reduction in tumor diameter (P=0.06; negative staining for TLE3 was predictive of a better response to neoadjuvant chemotherapy (P=0.07. A higher reduction in tumor diameter (P=0.03 was also found for tumors that were concurrently TLE3-negative and TOP2A

  11. Organizational Categories as Viewing Categories

    DEFF Research Database (Denmark)

    Mik-Meyer, Nanna

    This paper explores how two Danish rehabilitation organizations textual guidelines for assessment of clients' personality traits influence the actual evaluation of clients. The analysis will show how staff members produce institutional identities corresponding to organizational categories, which...... I elucidate how the two rehabilitation organizations local history, legislation, structural features of the present labour market and of social work result in a number of contradictions which make it difficult to deliver client-centred care. This exact goal is according to the staff one of the most...

  12. Feynman Categories

    CERN Document Server

    Kaufmann, Ralph M

    2013-01-01

    In this paper we give a new foundational categorical formulation for operations and relations and objects parameterizing them. This generalizes operads and all their cousins including but not limited to PROPs, modular operads, twisted (modular) operads as well as algebras over operads and an abundance of other related structures, such as FI--algebras. The usefulness of this approach is that it allows us to handle all the classical as well as more esoteric structures under a common framework and we can treat all the situations simultaneously. Many of the known constructions simply become Kan extensions. In this common framework, we also derive universal operations, such as those underlying Deligne's conjecture, construct Hopf algebras as well as perform resolutions, (co)bar transforms and Feynman transforms which are related to master equations. For these applications, we construct the relevant model category structures.

  13. Colourful categories

    Science.gov (United States)

    Gromov, M. L.

    2015-08-01

    This paper presents Ramsey theory in category-theoretic terms as a message from a non-expert author to a non-expert reader. Everything is explained starting from the level zero, and an attempt is made to be as self-explanatory in the terminology and notation as possible. For the sake of references, the paper also reproduces traditional terminology, with concepts and theorems often named after (presumed) discoverers who are largely unknown to outsiders to the field. The sources are referred to in a manner so as to make them easy to find on the web; only exceptionally are non-freely accessible items referred to. Certain questions are formulated as 'conjectures', not out of a deep belief in their validity but because they sound better stated explicitly. There are no new results in this article, no deepening of particular aspects of Ramsey theory, no attempts to be comprehensive. But, in the spirit of the ideas of Anatoly Vershik, an attempt is made to move transversally across common directions of research, to see interrelations between them and to formulate questions. In fact, the article reproduces a chapter from the author's as yet unfinished manuscript "A number of questions". Bibliography: 65 titles.

  14. Efficacy and safety analysis of trastuzumab and paclitaxel based regimen plus carboplatin or epirubicin as neoadjuvant therapy for clinical stage II-III, HER2-positive breast cancer patients: a phase 2, open-label, multicenter, randomized trial.

    Science.gov (United States)

    Huang, Liang; Chen, Sheng; Yang, Wentao; Xu, Binghe; Huang, Tao; Yang, Hongjian; Zheng, Hong; Wang, Yongsheng; Song, Erwei; Zhang, Jin; Cui, Shude; Pang, Da; Tang, Lili; Lei, Yutao; Geng, Cuizhi; Shao, Zhiming

    2015-07-30

    This trial was designed to compare the efficacy and safety between epirubicin (E) and carboplatin (C) in combination with paclitaxel (P) and trastuzumab (H) in neoadjuvant setting. In 13 Chinese cancer centers, 100 patients with HER2-positive, locally advanced breast cancer were 1:1 randomized to receive medication as follows: trastuzumab and paclitaxel weekly combined with carboplatin weekly for PCH group, or epirubicin every 3 weeks for PEH group. Patients were given 4 to 6 cycles of chemotherapy. The primary endpoint was pathologic complete response (pCR) rate, which was no significant difference in PCH and PEH regimen (39.1% vs. 48.8%; p=0.365). However, PEH regimen achieved higher pCR in luminal-B (HER2-poitive) subgroup (55.0% vs. 24.0%; p = 0.033), but not in ERBB2+ subgroup (42.9% vs. 57.1%; p = 0.355). PEH regimen showed a favorable efficacy in PIK3CA mutated subgroup (69.2% vs.23.5%, p=0.012). No significant difference was observed in the subgroup analysis of TP53 mutation status, PTEN expression, FCGR2A SNP and FCGR3A SNP. Both regimens as neoadjuvant chemotherapy achieve similar efficacy and safety. PEH might improve pCR rate, especially in the luminal-B subtype and PIK3CA mutation subtype. PEH is feasible and less likely to increase the incidence of acute cardiac events compared to PCH. PMID:26084292

  15. Segal Enriched Categories I

    CERN Document Server

    Bacard, Hugo V

    2010-01-01

    We develop a theory of enriched categories over a (higher) category M equipped with a class W of morphisms called homotopy equivalences. We call them Segal M_W -categories. Our motivation was to generalize the notion of "up-to-homotopy monoids" in a monoidal category M, introduced by Leinster. The formalism adopted generalizes the classical Segal categories and extends the theory of enriched category over a bicategory. In particular we have a linear version of Segal categories which did not exist so far. Our goal in this paper is to present the theory and provide some examples. Applications are reserved for the future.

  16. The LLNL Heavy Element Facility -- Facility Management, Authorization Basis, and Readiness Assessment Lessons Learned in the Heavy Element Facility (B251) Transition from Category II Nuclear Facility to Radiological Facility

    Energy Technology Data Exchange (ETDEWEB)

    Mitchell, M; Anderson, B; Brown, E; Gray, L

    2006-04-10

    This paper presents Facility Management, Readiness Assessment, and Authorization Basis experience gained and lessons learned during the Heavy Element Facility Risk Reduction Program (RRP). The RRP was tasked with removing contaminated glove boxes, radioactive inventory, and contaminated ventilation systems from the Heavy Element Facility (B251) at Lawrence Livermore National Laboratory (LLNL). The RRP was successful in its goal in April 2005 with the successful downgrade of B251 from a Category II Nuclear Facility to a Radiological Facility. The expertise gained and the lessons learned during the planning and conduct of the RRP included development of unique approaches in work planning/work control (''Expect the unexpected and confirm the expected'') and facility management. These approaches minimized worker dose and resulted in significant safety improvements and operational efficiencies. These lessons learned can help similar operational and management activities at other sites, including facilities restarting operations or new facility startup. B251 was constructed at LLNL to provide research areas for conducting experiments in radiochemistry using transuranic elements. Activities at B251 once included the preparation of tracer sets associated with the underground testing of nuclear devices and basic research devoted to a better understanding of the chemical and nuclear behavior of the transuranic elements. Due to the age of the facility, even with preventative maintenance, facility safety and experimental systems were deteriorating. A variety of seismic standards were used in the facility design and construction, which encompassed eight building increments constructed over a period of 26 years. The cost to bring the facility into compliance with the current seismic and other requirements was prohibitive, and simply maintaining B251 as a Category II nuclear facility posed serious cost considerations under a changing regulatory environment

  17. Categories from scratch

    OpenAIRE

    Poss, R.

    2014-01-01

    The concept of category from mathematics happens to be useful to computer programmers in many ways. Unfortunately, all "good" explanations of categories so far have been designed by mathematicians, or at least theoreticians with a strong background in mathematics, and this makes categories especially inscrutable to external audiences. More specifically, the common explanatory route to approach categories is usually: "here is a formal specification of what a category is; then look at these kno...

  18. Phase II randomized clinical trial evaluating neoadjuvant chemotherapy regimens with weekly paclitaxel or eribulin followed by doxorubicin and cyclophosphamide in women with locally advanced HER2-negative breast cancer: NSABP Foundation Study FB-9.

    Science.gov (United States)

    Abraham, Jame; Robidoux, André; Tan, Antoinette R; Limentani, Steven; Sturtz, Keren; Shalaby, Ibrahim; Alcorn, Hope; Buyse, Marc E; Wolmark, Norman; Jacobs, Samuel A

    2015-07-01

    Locally advanced breast cancer (LABC) is a good setting in which to monitor response to neoadjuvant chemotherapy, to downsize the tumor (which facilitates breast-conserving surgery), and to test newer agents in untreated patients. Eribulin (E) has shown activity in patients who have undergone previous taxane, anthracycline, and capecitabine treatment. We aimed to evaluate the neoadjuvant use of E followed by doxorubicin and cyclophosphamide (AC) in patients with HER2-negative LABC, using as a control a randomized group of women who received weekly paclitaxel (WP). Fifty women with LABC were accrued January-August 2013. Patients were randomized (1:2) to receive either WP (N = 19) for 12 treatments or E (N = 31) every 3 weeks for 4 cycles followed by AC every 3 weeks for 4 cycles before surgery. 17/19 patients who took WP and 25/30 who took E completed all cycles. Patients were evaluated by clinical examination and breast MRI at baseline and after completion of E or WP. Surgical pCR in breast and lymph nodes was determined by a local pathologist following chemotherapy. Forty-nine patients received ≥1 dose of neoadjuvant chemotherapy and are included in this analysis. Forty-eight underwent surgery; one had disease that was inoperable (on E) and is included as no-pCR patient. 17/19 of these patients who took WP completed 12 doses; 28/30 on E completed 4 cycles. Six discontinued treatment on WP, E, or AC. Both treatments were well tolerated. pCR on WP = 5/19(26 %) and on E = 5/30(17 %). Both regimens were equally well tolerated with no unexpected toxicities. pCR did not suggest higher activity with E than with other standard regimens in these LABC patients.

  19. Dietary regimens of athletes competing at the Delhi 2010 Commonwealth Games.

    Science.gov (United States)

    Pelly, Fiona E; Burkhart, Sarah J

    2014-02-01

    The aim of this study was to investigate the dietary regimens reported by athletes competing at a major international competition and report whether these were based on nutrient composition, religious beliefs, cultural eating style, food intolerance or avoidance of certain ingredients. A questionnaire was randomly distributed to 351 athletes in the main dining hall of the athletes' village over the three main meal periods during the Delhi 2010 Commonwealth Games (23rd Sept-14th Oct, 2010). The majority (n = 218, 62%) of athletes reported following one or more dietary regimens, with 50% (n = 174) following a diet based on the nutrient composition of the food. Significantly more athletes from weight category and aesthetic sports (28%, p = .005) and from power/sprint sports (41%, p = .004) followed low fat and high protein regimens respectively. Other specialized dietary regimens were followed by 33% of participants, with avoidance of red meat (13%), vegetarian (7%), Halal (6%), and low lactose regimens (5%) reported most frequently. Significantly more athletes from non-Western regions followed a vegetarian diet (p eating was the most commonly reported cultural regimen (72% of total with 23% from non-Western regions). Those following a Western diet were significantly more likely to report following a regimen based on nutrient composition (p = .02). As a high proportion of athletes from differing countries and sports follow specialized dietary regimens, caterers and organizers should ensure that adequate nutrition support and food items are available at similar events. PMID:23918635

  20. Categories from scratch

    NARCIS (Netherlands)

    R. Poss

    2014-01-01

    The concept of category from mathematics happens to be useful to computer programmers in many ways. Unfortunately, all "good" explanations of categories so far have been designed by mathematicians, or at least theoreticians with a strong background in mathematics, and this makes categories especiall

  1. Tuberculosis treatment and drug regimens.

    Science.gov (United States)

    Sotgiu, Giovanni; Centis, Rosella; D'ambrosio, Lia; Migliori, Giovanni Battista

    2015-05-01

    Tuberculosis is an airborne infectious disease treated with combination therapeutic regimens. Adherence to long-term antituberculosis therapy is crucial for maintaining adequate blood drug level. The emergence and spread of drug-resistant Mycobacterium tuberculosis strains are mainly favored by the inadequate medical management of the patients. The therapeutic approach for drug-resistant tuberculosis is cumbersome, because of the poor, expensive, less-effective, and toxic alternatives to the first-line drugs. New antituberculosis drugs (bedaquiline and delamanid) have been recently approved by the health authorities, but they cannot represent the definitive solution to the clinical management of drug-resistant tuberculosis forms, particularly in intermediate economy settings where the prevalence of drug resistance is high (China, India, and former Soviet Union countries). New research and development activities are urgently needed. Public health policies are required to preserve the new and old therapeutic options. PMID:25573773

  2. Valuation, categories and attributes.

    Directory of Open Access Journals (Sweden)

    Inna Galperin

    Full Text Available Existing research on categories has only examined indirectly the value associated with being a member of a category relative to the value of the set of attributes that determine membership in that category. This study uses survey data to analyze consumers' preferences for the "organic" label versus for the attributes underlying that label. We found that consumers generally preferred products with the category label to those with the attributes required for the organic label but without the label. We also found that the value accorded to the organic label increased with the number of attributes that an individual associated with the category. Category membership nevertheless still had greater value than even that of the sum of the attributes associated with it.

  3. Category Theory in Relativity

    CERN Document Server

    Wagh, Sanjay M

    2007-01-01

    Measures in the context of Category Theory lead to various relations, even differential relations, of categories that are independent of the mathematical structure forming objects of a category. Such relations, which are independent of the mathematical structure that we may represent a physical body or a system of reference with, are, precisely, demanded to be the Laws of Physics by the General Principle of Relativity.

  4. Category Theory In Geography?

    OpenAIRE

    Arlinghaus Sandra L.; Kerski Joseph

    2015-01-01

    Is mathematical category theory a unifying tool for geography? Here we look at a few basic category theoretical ideas and interpret them in geographic example. We also offer links to indicate how category theory has been used as such in other disciplines. Finally, we announce the direction of our research program on this topic as a way to facilitate the learning, and maintenance of learning, of GIS software – and in the spirit of Quaestiones Geographicae, invite debate, comment, and contribut...

  5. Blocking in Category Learning

    OpenAIRE

    Bott, Lewis; Hoffman, Aaron B.; Murphy, Gregory L.

    2007-01-01

    Many theories of category learning assume that learning is driven by a need to minimize classification error. When there is no classification error, therefore, learning of individual features should be negligible. We tested this hypothesis by conducting three category learning experiments adapted from an associative learning blocking paradigm. Contrary to an error-driven account of learning, participants learned a wide range of information when they learned about categories, and blocking effe...

  6. Blocking in Category Learning

    Science.gov (United States)

    Bott, Lewis; Hoffman, Aaron B.; Murphy, Gregory L.

    2007-01-01

    Many theories of category learning assume that learning is driven by a need to minimize classification error. When there is no classification error, therefore, learning of individual features should be negligible. The authors tested this hypothesis by conducting three category-learning experiments adapted from an associative learning blocking…

  7. MOOCs Definition & Categories

    OpenAIRE

    Hernández López, Arantxa; Gil, Eva Patricia; Peña López, Ismael

    2013-01-01

    Infographics about MOOCs Definition and Categories, by Learning Technologies Office. Infografía sobre definición y categorías de MOOC, por Tecnología educativa. Infografia sobre definició i categories de MOOC, per Tecnologia educativa.

  8. Category Theory In Geography?

    Directory of Open Access Journals (Sweden)

    Arlinghaus Sandra L.

    2015-12-01

    Full Text Available Is mathematical category theory a unifying tool for geography? Here we look at a few basic category theoretical ideas and interpret them in geographic example. We also offer links to indicate how category theory has been used as such in other disciplines. Finally, we announce the direction of our research program on this topic as a way to facilitate the learning, and maintenance of learning, of GIS software – and in the spirit of Quaestiones Geographicae, invite debate, comment, and contribution to this program in spatial mathematics.

  9. Triangulated categories (AM-148)

    CERN Document Server

    Neeman, Amnon

    2014-01-01

    The first two chapters of this book offer a modern, self-contained exposition of the elementary theory of triangulated categories and their quotients. The simple, elegant presentation of these known results makes these chapters eminently suitable as a text for graduate students. The remainder of the book is devoted to new research, providing, among other material, some remarkable improvements on Brown''s classical representability theorem. In addition, the author introduces a class of triangulated categories""--the ""well generated triangulated categories""--and studies their properties. This

  10. Analysis of rare categories

    CERN Document Server

    He, Jingrui

    2012-01-01

    In many real-world problems, rare categories (minority classes) play essential roles despite their extreme scarcity. The discovery, characterization and prediction of rare categories of rare examples may protect us from fraudulent or malicious behavior, aid scientific discovery, and even save lives. This book focuses on rare category analysis, where the majority classes have smooth distributions, and the minority classes exhibit the compactness property. Furthermore, it focuses on the challenging cases where the support regions of the majority and minority classes overlap. The author has devel

  11. Consumer Product Category Database

    Data.gov (United States)

    U.S. Environmental Protection Agency — The Chemical and Product Categories database (CPCat) catalogs the use of over 40,000 chemicals and their presence in different consumer products. The chemical use...

  12. Categorial Minimalist Grammar

    CERN Document Server

    Amblard, Maxime; Retoré, Christian

    2010-01-01

    We first recall some basic notions on minimalist grammars and on categorial grammars. Next we shortly introduce partially commutative linear logic, and our representation of minimalist grammars within this categorial system, the so-called categorial minimalist grammars. Thereafter we briefly present \\lambda\\mu-DRT (Discourse Representation Theory) an extension of \\lambda-DRT (compositional DRT) in the framework of \\lambda\\mu calculus: it avoids type raising and derives different readings from a single semantic representation, in a setting which follows discourse structure. We run a complete example which illustrates the various structures and rules that are needed to derive a semantic representation from the categorial view of a transformational syntactic analysis.

  13. Abstract sectional category

    CERN Document Server

    Diaz, F; Garcia, P; Murillo, A; Remedios, J

    2011-01-01

    We study, in an abstract axiomatic setting, the notion of sectional category of a morphism. From this, we unify and generalize known results about this invariant in different settings as well as we deduce new applications.

  14. Categories without structures

    OpenAIRE

    Rodin, Andrei

    2009-01-01

    The popular view according to which Category theory provides a support for Mathematical Structuralism is erroneous. Category-theoretic foundations of mathematics require a different philosophy of mathematics. While structural mathematics studies invariant forms (Awodey) categorical mathematics studies covariant transformations which, generally, don t have any invariants. In this paper I develop a non-structuralist interpretation of categorical mathematics and show its consequences for history...

  15. Categories without structures

    CERN Document Server

    Rodin, Andrei

    2009-01-01

    The popular view according to which Category theory provides a support for Mathematical Structuralism is erroneous. Category-theoretic foundations of mathematics require a different philosophy of mathematics. While structural mathematics studies invariant forms (Awodey) categorical mathematics studies covariant transformations which, generally, don t have any invariants. In this paper I develop a non-structuralist interpretation of categorical mathematics and show its consequences for history of mathematics and mathematics education.

  16. Sleep enhances category learning

    OpenAIRE

    Djonlagic, Ina; Rosenfeld, Andrew; Shohamy, Daphna; Myers, Catherine; Gluck, Mark; Stickgold, Robert

    2009-01-01

    The ability to categorize objects and events in the world around us is a fundamental and critical aspect of human learning. We trained healthy adults on a probabilistic category-learning task in two different training modes. The aim of this study was to see whether either form of probabilistic category learning (feedback or observational) undergoes subsequent enhancement during sleep. Our results suggest that after training, a good night of sleep can lead to improved performance the following...

  17. ON THE SELECTION OF DRUGS DOSAGE REGIMEN

    Directory of Open Access Journals (Sweden)

    E. N. Bochanova

    2015-09-01

    Full Text Available A complex system of hemostasis regulation, insufficient data on drugs pharmacokinetics, multiple factors effecting treatment, including patient’s adherence to therapy, that can lead to the need for the dosage regimen specification are presented.

  18. ON THE SELECTION OF DRUGS DOSAGE REGIMEN

    OpenAIRE

    E. N. Bochanova

    2015-01-01

    A complex system of hemostasis regulation, insufficient data on drugs pharmacokinetics, multiple factors effecting treatment, including patient’s adherence to therapy, that can lead to the need for the dosage regimen specification are presented.

  19. Infinite Index Subfactors and the GICAR Categories

    Science.gov (United States)

    Jones, Vaughan F. R.; Penneys, David

    2015-10-01

    Given a II1-subfactor of arbitrary index, we show that the rectangular GICAR category, also called the rectangular planar rook category, faithfully embeds as A - A bimodule maps among the bimodules . As a corollary, we get a lower bound on the dimension of the centralizer algebras for infinite index subfactors, and we also get that is nonabelian for , where is the Jones tower for . We also show that the annular GICAR/planar rook category acts as maps amongst the A-central vectors in , although this action may be degenerate. We prove these results in more generality using bimodules. The embedding of the GICAR category builds on work of Connes and Evans, who originally found GICAR algebras inside Temperley-Lieb algebras with finite modulus.

  20. On braided tensor categories

    CERN Document Server

    Kerler, T

    1994-01-01

    We investigate invertible elements and gradings in braided tensor categories. This leads us to the definition of theta-, product-, subgrading and orbitcategories in order to construct new families of BTC's from given ones. We use the representation theory of Hecke algebras in order to relate the fusionring of a BTC generated by an object $X$ with a two component decomposition of its tensorsquare to the fusionring of quantum groups of type $A$ at roots of unity. We find the condition of "local isomorphie" on a special fusionring morphism implying that a BTC is obtained from the above constructions applied to the semisimplified representation category of a quantum group. This family of BTC's contains new series of twisted categories that do not stem from known Hopf algebras. Using the language of incidence graphs and the balancing structure on a BTC we also find strong constraints on the fusionring morphism. For Temperley Lieb type categories these are sufficient to show local isomorphie. Thus we obtain a class...

  1. Highest weight categories and recollements

    OpenAIRE

    Krause, Henning

    2015-01-01

    We provide several equivalent descriptions of a highest weight category using recollements of abelian categories. Also, we explain the connection between sequences of standard and exceptional objects.

  2. Prophylactic antibiotic regimens in tumour surgery (PARITY)

    DEFF Research Database (Denmark)

    Petersen, Michael Mørk; Hettwer, Werner H; Grum-Schwensen, Tomas

    2015-01-01

    -day regimen of post-operative antibiotics, in comparison to a 24-hour regimen, decreases surgical site infections in patients undergoing endoprosthetic reconstruction for lower extremity primary bone tumours. METHODS: We performed a pilot international multi-centre RCT. We used central randomisation...... to conceal treatment allocation and sham antibiotics to blind participants, surgeons, and data collectors. We determined feasibility by measuring patient enrolment, completeness of follow-up, and protocol deviations for the antibiotic regimens. RESULTS: We screened 96 patients and enrolled 60 participants......% at one year (the remainder with partial data or pending queries). In total, 18 participants missed at least one dose of antibiotics or placebo post-operatively, but 93% of all post-operative doses were administered per protocol. CONCLUSIONS: It is feasible to conduct a definitive multi-centre RCT of post...

  3. Metabolic drug interactions - the impact of prescribed drug regimens on the medication safety.

    NARCIS (Netherlands)

    Fialova, D.; Vrbensky, K.; Topinkova, E.; Vlcek, J.; Soerbye, L.W.; Wagner, C.; Bernabei, R.

    2005-01-01

    Background and objective: Risk/benefit profile of prescribed drug regimens is unkown. Over 60% of commonly used medications interact on metabolic pathways (cytochrom P450 (CYP450), uridyl-glucuronyl tranferasis (UGT I, II) and P-glycoprotein (PGP) transport). Using an up-to-date knowledge on metabo

  4. Categories and Commutative Algebra

    CERN Document Server

    Salmon, P

    2011-01-01

    L. Badescu: Sur certaines singularites des varietes algebriques.- D.A. Buchsbaum: Homological and commutative algebra.- S. Greco: Anelli Henseliani.- C. Lair: Morphismes et structures algebriques.- B.A. Mitchell: Introduction to category theory and homological algebra.- R. Rivet: Anneaux de series formelles et anneaux henseliens.- P. Salmon: Applicazioni della K-teoria all'algebra commutativa.- M. Tierney: Axiomatic sheaf theory: some constructions and applications.- C.B. Winters: An elementary lecture on algebraic spaces.

  5. How do Category Managers Manage?

    DEFF Research Database (Denmark)

    Hald, Kim Sundtoft; Sigurbjornsson, Tomas

    2013-01-01

    The aim of this research is to explore the managerial role of category managers in purchasing. A network management perspective is adopted. A case based research methodology is applied, and three category managers managing a diverse set of component and service categories in a global production...... of the role of the category manager in purchasing....

  6. Learning, retention, and generalization of haptic categories

    Science.gov (United States)

    Do, Phuong T.

    This dissertation explored how haptic concepts are learned, retained, and generalized to the same or different modality. Participants learned to classify objects into three categories either visually or haptically via different training procedures, followed by an immediate or delayed transfer test. Experiment I involved visual versus haptic learning and transfer. Intermodal matching between vision and haptics was investigated in Experiment II. Experiments III and IV examined intersensory conflict in within- and between-category bimodal situations to determine the degree of perceptual dominance between sight and touch. Experiment V explored the intramodal relationship between similarity and categorization in a psychological space, as revealed by MDS analysis of similarity judgments. Major findings were: (1) visual examination resulted in relatively higher performance accuracy than haptic learning; (2) systematic training produced better category learning of haptic concepts across all modality conditions; (3) the category prototypes were rated newer than any transfer stimulus followed learning both immediately and after a week delay; and, (4) although they converged at the apex of two transformational trajectories, the category prototypes became more central to their respective categories and increasingly structured as a function of learning. Implications for theories of multimodal similarity and categorization behavior are discussed in terms of discrimination learning, sensory integration, and dominance relation.

  7. Coherence in monoidal track categories

    CERN Document Server

    Guiraud, Yves

    2010-01-01

    We introduce homotopical methods based on rewriting on higher-dimensional categories to prove coherence results in categories with an algebraic structure. We express the coherence problem for (symmetric) monoidal categories as an asphericity problem for a track category and use rewriting methods on polygraphs to solve it. The setting is generalized to more general coherence problems, seen as 3-dimensional word problems in a track category. We prove general results that, in the case of braided monoidal categories, yield the coherence theorem for braided monoidal categories.

  8. Category Variability Effect in Category Learning with Auditory Stimuli

    Directory of Open Access Journals (Sweden)

    Lee-Xieng eYang

    2014-10-01

    Full Text Available The category variability effect refers to that people tend to classify the midpoint item between two categories as the category more variable. This effect is regarded as evidence against the exemplar model, such as GCM (Generalized Context Model and favoring the rule model, such as GRT (i.e., the decision bound model. Although this effect has been found in conceptual category learning, it is not often observed in perceptual category learning. To figure out why the category variability effect is seldom reported in the past studies, we propose two hypotheses. First, due to sequence effect, the midpoint item would be classified as different categories, when following different items. When we combine these inconsistent responses for the midpoint item, no category variability effect occurs. Second, instead of the combination of sequence effect in different categorization conditions, the combination of different categorization strategies conceals the category variability effect. One experiment is conducted with single tones of different frequencies as stimuli. The collected data reveal sequence effect. However, the modeling results with the MAC model and the decision bound model support that the existence of individual differences is the reason for why no category variability effect occurs. Three groups are identified by their categorization strategy. Group 1 is rule user, placing the category boundary close to the low-variability category, hence inducing category variability effect. Group 2 takes the MAC strategy and classifies the midpoint item as different categories, depending on its preceding item. Group 3 classifies the midpoint item as the low-variability category, which is consistent with the prediction of the decision bound model as well as GCM. Nonetheless, our conclusion is that category variability effect can be found in perceptual category learning, but might be concealed by the averaged data.

  9. Visual object recognition and category-specificity

    DEFF Research Database (Denmark)

    Gerlach, Christian

    This thesis is based on seven published papers. The majority of the papers address two topics in visual object recognition: (i) category-effects at pre-semantic stages, and (ii) the integration of visual elements into elaborate shape descriptions corresponding to whole objects or large object parts...... (shape configuration). In the early writings these two topics were examined more or less independently. In later works, findings concerning category-effects and shape configuration merge into an integrated model, termed RACE, advanced to explain category-effects arising at pre-semantic stages in visual...... object recognition. RACE assumes two operations: shape configuration and selection. Shape configuration refers to the binding of visual elements into elaborate shape descriptions corresponding to whole objects or large object parts (operation 1). The output of the shape configuration operation...

  10. From recollement of triangulated categories to recollement of abelian categories

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    In this paper,we prove that if a triangulated category D admits a recollement relative to triangulated categories D’ and D″,then the abelian category D/T admits a recollement relative to abelian categories D’/i(T) and D″/j(T) where T is a cluster tilting subcategory of D and satisfies i i (T)  T,j j (T) T.

  11. Category vs. Object Knowledge in Category-based Induction

    OpenAIRE

    Murphy, Gregory L.; Ross, Brian H.

    2010-01-01

    In one form of category-based induction, people make predictions about unknown properties of objects. There is a tension between predictions made based on the object’s specific features (e.g., objects above a certain size tend not to fly) and those made by reference to category-level knowledge (e.g., birds fly). Seven experiments with artificial categories investigated these two sources of induction by looking at whether people used information about correlated features within categories, sug...

  12. Beyond the Categories.

    Science.gov (United States)

    Weeks, Jeffrey

    2015-07-01

    Shushu is a Turkish Cypriot drag performance artist and the article begins with a discussion of a short film about him by a Greek Cypriot playwright, film maker, and gay activist. The film is interesting in its own right as a documentary about a complex personality, but it is also relevant to wider discussion of sexual and gender identity and categorization in a country divided by history, religion, politics, and military occupation. Shushu rejects easy identification as gay or transgender, or anything else. He is his own self. But refusing a recognized and recognizable identity brings problems, and I detected a pervasive mood of melancholy in his portrayal. The article builds from this starting point to explore the problematic nature of identities and categorizations in the contemporary world. The analysis opens with the power of words and language in defining and classifying sexuality. The early sexologists set in motion a whole catalogue of categories which continue to shape sexual thinking, believing that they were providing a scientific basis for a more humane treatment of sexual variations. This logic continues in DSM-5. The historical effect, however, has been more complex. Categorizations have often fixed individuals into a narrow band of definitions and identities that marginalize and pathologize. The emergence of radical sexual-social movements from the late 1960s offered new forms of grassroots knowledge in opposition to the sexological tradition, but at first these movements worked to affirm rather than challenge the significance of identity categories. Increasingly, however, identities have been problematized and challenged for limiting sexual and gender possibilities, leading to the apparently paradoxical situation where sexual identities are seen as both necessary and impossible. There are emotional costs both in affirming a fixed identity and in rejecting one. Shushu is caught in this dilemma, leading to the pervasive sense of loss that shapes the

  13. Localization on Certain Grothendieck Categories

    Institute of Scientific and Technical Information of China (English)

    F.CASTANO-IGLESIAS; N.CHIFAN; C.NASTASESCU

    2009-01-01

    Using categorical techniques we obtain some results on localization and colocalization theory in Grothendieck categories with a set of small projective generators. In particular,we give a sufficient condition for such category to be semiartinian. For semiartinian Grothendieck categories where every simple object has a projective cover,we obtain that every localizing subcategory is a TTF-class. In addition,some applications to semiperfect categories are obtained.

  14. "Rescue" regimens after Helicobacter pylori treatment failure

    Institute of Scientific and Technical Information of China (English)

    Javier P Gisbert

    2008-01-01

    Helicobacter pylori (H pylori)infection is the main cause of gastritis,gastroduodenal ulcer disease,and gastric cancer.After more than 20 years of experience in Hpylori treatment,in my opinion,the ideal regimen to treat this infection is still to be found.Currently,apart from having to know first-line eradication regimens well,we must also be prepared to face lyeatment failures.Therefore,in designing a treatment strategy we should not focus on the results of primary therapy alone,but also on the final (overall) eradication rate.The choice of a "rescue" treatment depends on which treatment is used initially.If a clarithromycinbased regimen was used initially,a subsequent metronidazole-based treatment (quadruple therapy)may be used afterwards,and then a levofloxacinbased combination would be a third "rescue" option.Alternatively,it has recently been suggested that levofloxacin-based rescue therapy constitutes an encouraging second-line strategy,representing an alternative to quadruple therapy in patients with previous PPI-clarithromycin-amoxicillin failure,with the advantage of efficacy,simplicity and safety.In this case,a quadruple regimen may be reserved as a third-line rescue option.Finally,rifabutin-based rescue therapy constitutes an encouraging empirical fourthline strategy after multiple previous eradication failures with key antibiotics such as amoxicillin,clarithromycin,metronidazole,tetracycline,and levofloxacin.Even after two consecutive failures,several studies have demonstrated that H pylor/eradication can finally be achieved in almost all patients if several rescue therapies are consecutively given.Therefore,the attitude in H pylori eradication therapy failure,even after two or more unsuccessful attempts,should be to fight and not to surrender.

  15. New Treatment Regimen for Latent Tuberculosis Infection

    Centers for Disease Control (CDC) Podcasts

    2012-03-15

    In this podcast, Dr. Kenneth Castro, Director of the Division of Tuberculosis Elimination, discusses the December 9, 2011 CDC guidelines for the use of a new regimen for the treatment of persons with latent tuberculosis infection.  Created: 3/15/2012 by National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP).   Date Released: 3/15/2012.

  16. Homotopy colimits of model categories

    OpenAIRE

    Bergner, Julia E.

    2012-01-01

    Building on a previous definition of homotopy limit of model categories, we give a definition of homotopy colimit of model categories. Using the complete Segal space model for homotopy theories, we verify that this definition corresponds to the model-category-theoretic definition in that setting.

  17. Congruences in regular categories

    OpenAIRE

    Burgess, W. D.; Caicedo, X.

    2012-01-01

    Se investiga la composición de congruencias en categorías regulares y se demuestra, entre otros resultados, que la condición de Lawvere (toda relación de equivalencia es una congruencia) es equivalente en tales categorías a cualquiera de las siguientes propiedades: (i) la compuesta de congruencias que conmutan es una congruencia, (ii) un morfismo regular con congruencia r envía toda congruencia que conmuta con r a una congruencia en la imagen, (iii) cualquier par de morfismos regulares con co...

  18. Improving adherence to medical regimens for juvenile rheumatoid arthritis

    Directory of Open Access Journals (Sweden)

    Lindsley Carol B

    2007-05-01

    Full Text Available Abstract Poor adherence to medical regimens can compromise the efficacy of treatments for children and adolescents with juvenile rheumatoid arthritis (JRA. The purpose of this review is to describe medical regimens for the treatment of JRA and the rates of adherence to these regimens. We also summarize and critically the few research studies aimed at improving adherence to regimens for JRA. Finally, we summarize strategies for enhancing adherence in clinical practice.

  19. Steady state analysis and Eastern power system dynamic PDVSA EyP considering incorporating Furrial and PIGAP II generation plants; Analisis en regimen permanente y dinamico del sistema electrico de PDVSA EyP Oriente considerando la incorporacion de las plantas de generacion Furrial y PIGAP II

    Energy Technology Data Exchange (ETDEWEB)

    Rodriguez, S [Universidad Nacional Experimental Politecnica, Antonio Jose de Sucre, Guayana, Bolivar (Venezuela)]. E-mail: sergiodrg200@gmail.com; Vasquez, C [Petroleos de Venezuela S.A., Maturin, Monagas (Venezuela)]. E-mail: vasquezcp@pdvsa.com

    2013-03-15

    This paper is focused on steady state and dynamic analysis of Eastern Power System of Petroleum of Venezuela S.A. (PDVSA) Exploration and Production, considering new single cycle gas turbine power plants in Punta de Mata and El Furrial operational areas that will start up in 2015. Network operating conditions were determined, specifically the behavior of power flows and voltage profiles in normal condition of operation and under Contingencies N-1 in PDVSA Power System, as well as the short-circuit levels at all buses of the transmission network. Afterward, it was evaluated the impact on the network caused by the starting of the biggest motor in the system, considering island operation, verifying that it's necessary to maintain the interconnection with the National Electric System. For motor starting study, machine dynamic model was determined by mean of parameters estimation of its equivalent circuit, as well as the application of nonlinear regression methods in order to obtain load model using the information supplied by the manufacturer. [Spanish] El presente trabajo esta enfocado al analisis del comportamiento en regimen permanente y dinamico del sistema electrico de Petroleos de Venezuela S.A. (PDVSA) Exploracion y Produccion Oriente, considerando la incorporacion de nuevas Plantas de Generacion Termoelectricas de Ciclo Simple a Gas que entraran en operacion en las areas operacionales de Punta de Mata y El Furrial para el ano 2015. Se determinaron las condiciones de operacion de la red, especificamente el comportamiento de los flujos de potencia y perfiles de voltaje en Condicion Normal de operacion y bajo Contingencias N-1 dentro del Sistema de PDVSA, asi como el incremento en los niveles de cortocircuito en todas las barras de la red de transmision. Luego se evaluo el impacto en la red originado por el arranque del motor de mayor capacidad considerando la posible operacion en isla del sistema, determinandose que es necesario operar interconectado con el

  20. Clofarabine in combination with a standard remission induction regimen (cytosine arabinoside and idarubicin) in patients with previously untreated intermediate and bad-risk acute myelogenous leukemia (AML) or high-risk myelodysplastic syndrome (HR-MDS): phase I results of an ongoing phase I/II study of the leukemia groups of EORTC and GIMEMA (EORTC GIMEMA 06061/AML-14A trial)

    NARCIS (Netherlands)

    Willemze, R.; Suciu, S.; Muus, P.; Halkes, C.J.; Meloni, G.; Meert, L.; Karrasch, M.; Rapion, J.; Vignetti, M.; Amadori, S.; Witte, T.J.M. de; Marie, J.P.

    2014-01-01

    This study aims to determine the maximum tolerated dose (MTD) of clofarabine combined with the EORTC-GIMEMA 3 + 10 induction regimen (idarubicin + cytosine arabinoside) in adults with untreated acute myelogenous leukemia or high-risk myelodysplastic syndrome. In this phase I trial, 25 patients (medi

  1. A trace for bimodule categories

    CERN Document Server

    Fuchs, Jurgen; Schweigert, Christoph

    2014-01-01

    We study a 2-functor that assigns to a bimodule category over a finite k-linear tensor category a k-linear abelian category. This 2-functor can be regarded as a category-valued trace for 1-morphisms in the tricategory of finite tensor categories. It is defined by a universal property that is a categorification of Hochschild homology of bimodules over an algebra. We present several equivalent realizations of this 2-functor and show that it has a coherent cyclic invariance. Our results have applications to categories associated to circles in three-dimensional topological field theories with defects. This is made explicit for the subclass of Dijkgraaf-Witten topological field theories.

  2. Unfolding Grammars in Adhesive Categories

    OpenAIRE

    Baldan, Paolo; Corradini, Andrea; Heindel, Tobias; König, Barbara; Sobocinski, Pawel

    2009-01-01

    We generalize the unfolding semantics, previously developed for concrete formalisms such as Petri nets and graph grammars, to the abstract setting of (single pushout) rewriting over adhesive categories. The unfolding construction is characterized as a coreflection, i.e. the unfolding functor arises as the right adjoint to the embedding of the category of occurrence grammars into the category of grammars.As the unfolding represents potentially infinite computations, we need to work in adhesive...

  3. Metabolic drug interactions - the impact of prescribed drug regimens on the medication safety.

    OpenAIRE

    Fialova, D.; Vrbensky, K.; Topinkova, E.; J. Vlcek; Soerbye, L.W.; Wagner, C; Bernabei, R.

    2005-01-01

    Background and objective: Risk/benefit profile of prescribed drug regimens is unkown. Over 60% of commonly used medications interact on metabolic pathways (cytochrom P450 (CYP450), uridyl-glucuronyl tranferasis (UGT I, II) and P-glycoprotein (PGP) transport). Using an up-to-date knowledge on metabolic drug interactions, we aimed the study to determine the medication risk of commonly prescribed drug combinations. Design: A mathematical model was created to estimate the medication risk in vario...

  4. Which endpoints should we use in evaluating the use of novel fluoropyrimidine regimens in colorectal cancer?

    OpenAIRE

    Twelves, C. J.; Cassidy, J

    2002-01-01

    Although significant advances have been made in the treatment of advanced/metastatic colorectal cancer, 5-fluorouracil (5-FU) still forms the basis of chemotherapy. Recently, new 5-FU schedules and novel fluoropyrimidines have been developed, but there are no trials directly comparing these regimens. The current review describes the mechanisms of action, pre-clinical and phase I/II studies of two oral fluoropyrimidine therapies, capecitabine and uracil with tegafur plus leucovorin. It also co...

  5. Subject categories and scope descriptions

    International Nuclear Information System (INIS)

    This document is one in a series of publications known as the ETDE/INIS Joint Reference Series. It defines the subject categories and provides the scope descriptions to be used for categorization of the nuclear literature for the preparation of INIS and ETDE input by national and regional centres. Together with the other volumes of the INIS Reference Series it defines the rules, standards and practices and provides the authorities to be used in the International Nuclear Information System and ETDE. A complete list of the volumes published in the INIS Reference Series may be found on the inside front cover of this publication. This INIS/ETDE Reference Series document is intended to serve two purposes: to define the subject scope of the International Nuclear Information System (INIS) and the Energy Technology Data Exchange (ETDE) and to define the subject classification scheme of INIS and ETDE. It is thus the guide to the inputting centres in determining which items of literature should be reported, and in determining where the full bibliographic entry and abstract of each item should be included in INIS or ETDE database. Each category is identified by a category code consisting of three alphanumeric characters. A scope description is given for each subject category. The scope of INIS is the sum of the scopes of all the categories. With most categories cross references are provided to other categories where appropriate. Cross references should be of assistance in finding the appropriate category; in fact, by indicating topics that are excluded from the category in question, the cross references help to clarify and define the scope of the category to which they are appended. A Subject Index is included as an aid to subject classifiers, but it is only an aid and not a means for subject classification. It facilitates the use of this document, but is no substitute for the description of the scope of the subject categories

  6. Simplicial Lusternik-Schnirelmann category

    OpenAIRE

    Fernández-Ternero, Desamparados; Macías-Virgós, Enrique; Minuz, Erika; Vilches, José Antonio

    2016-01-01

    The simplicial LS-category of a finite abstract simplicial complex is a new invariant of the strong homotopy type, defined in purely combinatorial terms, that generalizes to arbitrary simplicial complexes the well known notion of arboricity of a graph, and that allows to develop all the machinery of algebraic topology which is costumary in the classical theory of Lusternik-Schnirelmann category.

  7. Categories with envelopes and imprints

    CERN Document Server

    Akbarov, Sergei

    2011-01-01

    An envelope in a category is a construction generalizing operations of "exterior completion", like completion of a locally convex space. Dually, an imprint generalizes operations of "interior enrichment", like saturation of a locally convex space. We give abstract definition for envelopes and imprints, prove existence of these objects in the categories of stereotype spaces and of stereotype algebras, and give some examples.

  8. What are the most efficacious treatment regimens for isoniazid-resistant tuberculosis? A systematic review and network meta-analysis

    Science.gov (United States)

    Stagg, H R; Harris, R J; Hatherell, H-A; Obach, D; Tsuchiya, N; Kranzer, K; Nikolayevskyy, V; Kim, J; Lipman, M C; Abubakar, I

    2016-01-01

    Introduction Consensus on the best treatment regimens for patients with isoniazid-resistant TB is limited; global treatment guidelines differ. We undertook a systematic review and meta-analysis using mixed-treatment comparisons methodology to provide an up-to-date summary of randomised controlled trials (RCTs) and relative regimen efficacy. Methods Ovid MEDLINE, the Web of Science and EMBASE were mined using search terms for TB, drug therapy and RCTs. Extracted data were inputted into fixed-effects and random-effects models. ORs for all possible network comparisons and hierarchical rankings for different regimens were obtained. Results 12 604 records were retrieved and 118 remained postextraction, representing 59 studies—27 standalone and 32 with multiple papers. In comparison to a baseline category that included the WHO-recommended regimen for countries with high levels of isoniazid resistance (rifampicin-containing regimens using fewer than three effective drugs at 4 months, in which rifampicin was protected by another effective drug at 6 months, and rifampicin was taken for 6 months), extending the duration of rifampicin and increasing the number of effective drugs at 4 months lowered the odds of unfavourable outcomes (treatment failure or the lack of microbiological cure; relapse post-treatment; death due to TB) in a fixed-effects model (OR 0.31 (95% credible interval 0.12–0.81)). In a random-effects model all estimates crossed the null. Conclusions Our systematic review and network meta-analysis highlight a regimen category that may be more efficacious than the WHO population level recommendation, and identify knowledge gaps where data are sparse. Systematic review registration number PROSPERO CRD42014015025. PMID:27298314

  9. Distributors on a tensor category

    OpenAIRE

    TAMBARA, D.

    2006-01-01

    Let $\\cA$ be a tensor category and let $\\cV$ denote the category of vector spaces. A distributor on $\\cA$ is a functor $\\cA^{\\op}\\times \\cA\\to \\cV$. We are concerned with distributors with two-sided $\\cA$-action. Those distributors form a tensor category, which we denoted by ${}_{\\cA}\\bD(\\cA,\\cA)_{\\cA}$. The functor category $\\Hom(\\cA^{\\op},\\cV)$ is also a tensor category and has the center $\\bZ(\\Hom(\\cA^{\\op},\\cV))$. We show that if $\\cA$ is rigid, then ${}_{\\cA}\\bD(\\cA,\\cA)_{\\cA}$ and $\\...

  10. Revisiting Dosing Regimen Using Pharmacokinetic/Pharmacodynamic Mathematical Modeling: Densification and Intensification of Combination Cancer Therapy.

    Science.gov (United States)

    Meille, Christophe; Barbolosi, Dominique; Ciccolini, Joseph; Freyer, Gilles; Iliadis, Athanassios

    2016-08-01

    Controlling effects of drugs administered in combination is particularly challenging with a densified regimen because of life-threatening hematological toxicities. We have developed a mathematical model to optimize drug dosing regimens and to redesign the dose intensification-dose escalation process, using densified cycles of combined anticancer drugs. A generic mathematical model was developed to describe the main components of the real process, including pharmacokinetics, safety and efficacy pharmacodynamics, and non-hematological toxicity risk. This model allowed for computing the distribution of the total drug amount of each drug in combination, for each escalation dose level, in order to minimize the average tumor mass for each cycle. This was achieved while complying with absolute neutrophil count clinical constraints and without exceeding a fixed risk of non-hematological dose-limiting toxicity. The innovative part of this work was the development of densifying and intensifying designs in a unified procedure. This model enabled us to determine the appropriate regimen in a pilot phase I/II study in metastatic breast patients for a 2-week-cycle treatment of docetaxel plus epirubicin doublet, and to propose a new dose-ranging process. In addition to the present application, this method can be further used to achieve optimization of any combination therapy, thus improving the efficacy versus toxicity balance of such a regimen.

  11. Drinfeld Center and Representation Theory for Monoidal Categories

    Science.gov (United States)

    Neshveyev, Sergey; Yamashita, Makoto

    2016-07-01

    Motivated by the relation between the Drinfeld double and central property (T) for quantum groups, given a rigid C*-tensor category {mathcal{C}} and a unitary half-braiding on an ind-object, we construct a *-representation of the fusion algebra of {mathcal{C}}. This allows us to present an alternative approach to recent results of Popa and Vaes, who defined C*-algebras of monoidal categories and introduced property (T) for them. As an example we analyze categories {mathcal{C}} of Hilbert bimodules over a II1-factor. We show that in this case the Drinfeld center is monoidally equivalent to a category of Hilbert bimodules over another II1-factor obtained by the Longo-Rehren construction. As an application, we obtain an alternative proof of the result of Popa and Vaes stating that property (T) for the category defined by an extremal finite index subfactor {N subset M} is equivalent to Popa's property (T) for the corresponding SE-inclusion of II1-factors. In the last part of the paper we study Müger's notion of weakly monoidally Morita equivalent categories and analyze the behavior of our constructions under the equivalence of the corresponding Drinfeld centers established by Schauenburg. In particular, we prove that property (T) is invariant under weak monoidal Morita equivalence.

  12. Short Communication: Initiation of an Abacavir-Containing Regimen in HIV-Infected Adults Is Associated with a Smaller Decrease in Inflammation and Endothelial Activation Markers Compared to Non-Abacavir-Containing Regimens

    OpenAIRE

    HILEMAN, Corrilynn O; Wohl, David A.; Tisch, Daniel J.; Debanne, Sara M.; McComsey, Grace A

    2012-01-01

    Abacavir has been associated with myocardial infarction in several studies. This may be related to inflammation and endothelial cell activation. We compared changes in inflammation and endothelial activation markers between antiretroviral-naive adults initiating zidovudine, lamivudine, abacavir, and nonnucleoside reverse transcriptase inhibitor (NNRTI) or this regimen without abacavir. Changes in soluble tumor necrosis factor receptors-I, -II (sTNFR-I, -II), high sensitivity C-reactive protei...

  13. The neurobiology of category learning.

    Science.gov (United States)

    Ashby, F Gregory; Spiering, Brian J

    2004-06-01

    Many recent studies have examined the neural basis of category learning. Behavioral neuroscience results suggest that both the prefrontal cortex and the basal ganglia play important category-learning roles; neurons that develop category-specific firing properties are found in both regions, and lesions to both areas cause category-learning deficits. Similar studies indicate that the inferotemporal cortex does not mediate the learning of new categories. The cognitive neuroscience literature on category learning appears contradictory until the results are partitioned according to the type of category-learning task that was used. Three major tasks can be identified: rule based, information-integration, and prototype-distortion. Recent results are consistent with the hypotheses that (a) learning in rule-based tasks requires working memory and executive attention and is mediated by frontal-striatal circuits, (b) learning in information-integration tasks requires procedural memory and is mediated primarily within the basal ganglia, and (c) learning in prototype-distortion tasks depends on multiple memory systems, including the perceptual representation system. PMID:15537987

  14. Twice-daily insulin regimens in management of severe diabetes.

    OpenAIRE

    Oakley, N; Mather, H; Hadley, L.; Lynch, J.; Pilkington, T

    1981-01-01

    Diurnal glucose profiles have been compared in ten insulin dependent diabetics receiving, firstly, a twice-daily soluble insulin (SI): isophane insulin (NPHI) insulin (30% SI, 70% NPHI). For each patient the two regimens gave similar profiles though nocturnal blood glucose control was better on Mixtard. HbA1 values were similar on the two regimens. The findings show that, using highly purified formulations, small changes in insulin proportions in twice-daily SI: NPHI regimens may be irrelevan...

  15. 8-MOP PUVA for psoriasis: a comparison of a minimal phototoxic dose-based regimen with a skin-type approach

    Energy Technology Data Exchange (ETDEWEB)

    Collins, P.; Wainwright, N.J.; Amorim, I.; Lakshmipathi, T.; Ferguson, J. [Ninewells Hospital and Medical School, Dundee (United Kingdom)

    1996-08-01

    Two ultraviolet A (UVA) regimens for oral 8-methoxypsoralen (8-MOP) photochemotherapy (PUVA) for moderate/severe chronic plaque psoriasis using a half-body study technique were compared. Each patient received both regimens. A higher-dose regimen based on minimal phototoxic dose (MPD) with percentage incremental increases was given to one-half of the body. The other half received a lower dose regimen based on skin type with fixed incremental UVA increases. Patients were treated twice weekly. Symmetrical plaques were scored to determine the rate of resolution with each regimen. In addition, the number of treatments, cumulative UVA dose and number of days in treatment to achieve overall clearance were recorded. Patients were reviewed monthly for one year to record remission data. Thirty-three patients completed the study. Both regimens were effective and well tolerated. With the MPD-based approach, number of exposures was significantly less for patients with skin types I and II but not III. Although the cumulative UVA dose was higher with the MPD regimen for all skin types studied, the reduced number of exposures required for clearance for skin types I and II but not III, combined with the security of individualized MPD testing, has practical attractions. MPD testing also identified five patients who required an increased psoralen dose and six patients who required a reduction of the initial UVA dose with the skin type regimen. Forty-two percent were still clear 1 year after treatment and there was no significant difference in the number of days in remission between the regimens for those whose psoriasis had recurred. The reduction in the number of exposures required for clearance with the MPD-based regimen may be safer and more cost effective in the long term. (author).

  16. Generalized Tambara-Yamagami categories

    OpenAIRE

    Liptrap, Jesse

    2010-01-01

    Fusion rules generalize groups by allowing multivalued multiplication. Groups are fusion rules of simple current index 1. We classify nilpotent (in the sense of Gelaki and Nikshych) fusion rules of simple current index 2, and characterize the associated fusion categories.

  17. A Convenient Category of Domains

    OpenAIRE

    Battenfeld, Ingo; Schröder, Matthias; Simpson, Alexander

    2007-01-01

    We motivate and define a category of topological domains, whose objects are certain topological spaces, generalising the usual ω-continuous dcppos of domain theory. Our category supports all the standard constructions of domain theory, including the solution of recursive domain equations. It also supports the construction of free algebras for (in)equational theories, can be used as the basis for a theory of computability, and provides a model of parametric polymorphism.

  18. A convenient category of domains

    OpenAIRE

    Battenfeld, Ingo; Schröder, Matthias; Simpson, Alex

    2007-01-01

    We motivate and define a category of "topological domains", whose objects are certain topological spaces, generalising the usual $omega$-continuous dcppos of domain theory. Our category supports all the standard constructions of domain theory, including the solution of recursive domain equations. It also supports the construction of free algebras for (in)equational theories, provides a model of parametric polymorphism, and can be used as the basis for a theory of computab...

  19. Sulla categoria delle categorie esatte

    OpenAIRE

    Margiocco, Marco; Mora, Fulvio

    1981-01-01

    In questo lavoro si studiano alcune proprietà della categoria ex e, in particolare, si costruisce l’esattizzazione di una sottocategoria di una categoria esatta, caratterizzandola mediante una opportuna proprietà universale. In this work we study some properties of the category ex, and construct the «exactization» of a subcategory of an exact category caracterized by an «universal property».

  20. Neural correlates of colour categories

    OpenAIRE

    Fonteneau, Elisabeth; Davidoff, Jules B.

    2007-01-01

    This study used an electrophysiological marker of visual detection to investigate adults' processing of colour difference. Event-related potentials were collected from the identical colour (green: G0) presented as the frequent or infrequent stimulus within different colour contexts. Critically, we compared differences within the same colour category (G0 vs. green: G1) to differences between colour categories (G0 vs. blue and G0 vs. red). All differences showed a change-related positivity with...

  1. 'Protestantism' as a historical category.

    OpenAIRE

    Ryrie, Alec

    2016-01-01

    The term ‘Protestant’ itself is a historical accident, but the category of western Christians who have separated from Rome since 1517 remains a useful one. The confessionalisation thesis, which has dominated recent Reformation historiography, instead posits the two major Protestant confessions and Tridentine Catholicism as its categories, but this can produce a false parallelism in which the nature of relationship between the confessions is oversimplified. Instead, this paper proposes we thin...

  2. Functional categories in comparative linguistics

    OpenAIRE

    Rijkhoff, Jan

    2014-01-01

    Functional categories in comparative linguistics Even after many decades of typological research, the biggest methodological problem still concerns the fundamental question: how can we be sure that we identify and compare the same linguistic form, structure, meaning etc. across languages? Very few linguistic categories, if any, appear to be ‘universal’ in the sense that they are attested in each and every language (Evans and Levinson 2009). The language-specific nature of form-based (structur...

  3. Data categories for marine planning

    Science.gov (United States)

    Lightsom, Frances L.; Cicchetti, Giancarlo; Wahle, Charles M.

    2015-01-01

    The U.S. National Ocean Policy calls for a science- and ecosystem-based approach to comprehensive planning and management of human activities and their impacts on America’s oceans. The Ocean Community in Data.gov is an outcome of 2010–2011 work by an interagency working group charged with designing a national information management system to support ocean planning. Within the working group, a smaller team developed a list of the data categories specifically relevant to marine planning. This set of categories is an important consensus statement of the breadth of information types required for ocean planning from a national, multidisciplinary perspective. Although the categories were described in a working document in 2011, they have not yet been fully implemented explicitly in online services or geospatial metadata, in part because authoritative definitions were not created formally. This document describes the purpose of the data categories, provides definitions, and identifies relations among the categories and between the categories and external standards. It is intended to be used by ocean data providers, managers, and users in order to provide a transparent and consistent framework for organizing and describing complex information about marine ecosystems and their connections to humans.

  4. Cost-efficacy of European AIDS Clinical Society-recommended initial antiretroviral regimens for treatment of HIV infection in Portugal

    Directory of Open Access Journals (Sweden)

    I Aldir

    2012-11-01

    Full Text Available Purpose of the study: Guidelines are based on clinical trial data as well as expert opinion and do not reflect economic considerations. Cost-efficacy analysis of recommended regimens allows for a ranking which takes into account both clinical and economic considerations. The aim of the present analysis was thus complement the information provided by the EACS (v6 guidelines regarding recommended initial treatment for HIV-1 infection. Methods: The methodology used was that described in Blasco et al. 2011 [1], but applied to Portugal in terms of (i resource prices, (ii resource utilization upon ART initiation, regimen switch and treatment of adverse events, and (iii subsequent regimen selection according to the initial regimen and the reason for switch. Regarding costs, the payer (National Healthcare Service perspective was considered taking into account only differential direct costs. The time horizon was 48 weeks. Summary of results: In this analysis, efficacy ranged from 66% with ABC/3TC+LPV/r to 86% for TDF/FTC+RAL. TDF/FTC+NVP was the least expensive regimen both in terms of the 48 weeks’ cost of the initial regimen and in terms of the total 48 weeks’ costs (i.e., including sequential therapy and other direct medical costs (7,592#x20AC;. Nonetheless, once cost and efficacy are considered simultaneously, TDF/FTC+NVP ranks third (11,419#x20AC;, ABC/3TC+EFV ranks second (11,073#x20AC; and TDF/FTC+EFV (also available, in a single tablet regimen ranks first (10,888#x20AC; indicating that this is the regimen yielding the lowest cost per suppressed patient. Among regimens containing boosted protease inhibitors, TDF/FTC+DRV/r was the regimen with the lowest cost/efficacy ratio (13,020#x20AC; and TDF/FTC+ATV/r had the highest ratio (15,102#x20AC;. Conclusions: Viral suppression is a relevant efficacy outcome not only due to individual benefits but also from a public health perspective. In this analysis, TDF/FTC+EFV was the initial ART regimen with

  5. Dentine microhardness changes following conventional and alternate irrigation regimens: An in vitro study

    Directory of Open Access Journals (Sweden)

    Anusree Das

    2014-01-01

    Full Text Available Aim: To compare the changes in microhardness of root dentin caused by two novel irrigation regimens with conventional irrigation. Materials and Methods: Forty extracted human permanent incisor teeth were selected. Decoronated roots were separated longitudinally to get 80 specimens that were embedded in autopolymerizing acrylic resin and grounded flat with silicon carbide abrasive papers. Of these, 60 root segments without any cracks or defects were selected and divided into four groups according to the irrigation regimen used (n = 15. Group I: 5% sodium hypochlorite (NaOCl + 17% ethylenediaminetetraacetic acid (EDTA + 0.2% chlorhexidine digluconate (CHX (conventional. Group II: 6% Morinda Citrifolia Juice + 17% EDTA (MCJ. Group III: 5% NaOCl + Q Mix 2 in 1 (QMix. Group IV: Distilled water (control. Irrigation regimens were performed for 5 minutes. Dentin microhardness was measured with a Vickers indenter under a 200-g load and a 20-s dwell time at the midroot level of root dentin. The data were analyzed using Kruskal Wallis test and Dunn′s multiple comparison tests. Results: A significant difference was seen in the median values of the four groups. The control group showed the least reduction in microhardness when comparison with the other groups. Except for Group III (Q Mix, the other groups that were tested (MCJ and conventional regimens showed statistically significant difference from the control group. Conclusion: Within the limitation of this study, it was concluded that NaOCl + Q Mix were least detrimental to root dentin microhardness when compared with MCJ and conventional irrigation regimens.

  6. The Sex Res Non Naturales and the Regimen of Health

    DEFF Research Database (Denmark)

    Agerholm, Frank Juul

    2013-01-01

    The paper discusses the ethical and social soundness of the classical idea of diaita/regimen vis-à-vis the contemporary focus on healthy lifestyle......The paper discusses the ethical and social soundness of the classical idea of diaita/regimen vis-à-vis the contemporary focus on healthy lifestyle...

  7. Comparative effects of different anesthetic regimens on the oculocardiac reflex

    Directory of Open Access Journals (Sweden)

    MR Safavi

    2007-11-01

    Full Text Available Background: The oculocardiac reflex (OCR, which is most oftenencountered during strabismus surgery in children, may cause bradycardia,arrhythmias, and cardiac arrest following a variety of stimuli arising in ornear the eyeball. The main purpose of this study was to evaluate the effects ofvarious anesthetic regimens on modulation of the cardiovascular response of theOCR during strabismus surgery.Patients and Methods: Three hundred American Society of Anesthesia (ASAphysical status I-II patients, scheduled for elective strabismus surgery undergeneral anesthesia, randomly allocated in a double blind fashion to one of threeanesthetic regimens of group P ( propofol 2 mg/kg, alfentanil 0.02 mg/kg, andatracurium 0.5 mg/kg at induction , group K (ketamine racemate 2mg/kg,alfentanil 0.02 mg/kg, and atracurium 0.5 mg/kg at induction and group T(thiopental 5mg/kg, alfentanil 0.02 mg/kg, and atracurium 0.5 mg/kg atinduction. Mean arterial pressure (MAP and heart rate (HR were recorded justbefore and at 1, 15, 30, 45, and 60 min after induction. OCR was defined as a 20beats/min change in HR induced by traction compared with basal value.Results: Mean heart rate (± SD during the course of surgery in group Pwas significantly slower than in the K group (111.90 ± 1.10 vs. 116.7 ± 0.70respectively, P<0.05 .Mean HR changes (± SD in group K was significantlyhigher than in P group (11.2 ± 1.44 vs. 8.7 ± 1.50 respectively, P<0.05. Meanarterial pressure changes (± SD were significantly lower in group P than ingroup K or T patients (12.5 ± 1.13 vs. 19.3±0.80 or 18.9±0.91 respectively,P<0.05. Frequency of OCR was significantly lower in group K than group T or Ppatients (9% vs. 16% or 13% respectively, P<0.05.Conclusion: Induction of anesthesia with ketamine is associated withleast cardiovascular changes induced by OCR during strabismus surgery.

  8. A review of functional imaging studies on category-specificity

    DEFF Research Database (Denmark)

    Gerlach, Christian

    2007-01-01

    A review of 20 functional imaging studies that compared visual processing of natural objects and artefacts in normal subjects is presented. The studies included fulfilled three criteria: (i) they used pictures as stimuli, (ii) they were based on direct contrasts between categories, and (iii) they...

  9. A Morphism Double Category and Monoidal Structure

    Directory of Open Access Journals (Sweden)

    Saikat Chatterjee

    2013-01-01

    Full Text Available We provide a recipe for “fattening” a category that leads to the construction of a double category. Motivated by an example where the underlying category has vector spaces as objects, we show how a monoidal category leads to a law of composition, satisfying certain coherence properties, on the object set of the fattened category.

  10. Among once-daily regimens, single tablet regimens (STRs are associated with better adherence

    Directory of Open Access Journals (Sweden)

    R Murri

    2012-11-01

    Full Text Available Previous published evidences showed that taking HAART once-daily (OD is associated to better adherence when compared to BID or TID regimens. However, no further studies investigated whether, among OD regimens, adherence levels can be differently influenced. Aim of the study was to evaluate levels of self-reported adherence in HIV+ people according to type of HAART dosing (STR, OD with more than one pill or BID. To limit reporting biases, the study was performed in five different non-clinic settings covering North and Central Italy. A total of 230 patients on stable HAART were asked to complete a semi-structured, anonymous questionnaire reporting their attitude toward HAART, their adherence and the acceptability of their regimen. Self-perception of adherence was also investigated with a single item for comparison with real adherence behavior. Most of the subjects were males (66% with a mean age of 46 years, with higher education level (72% and a long history of HIV infection (mean 13.6 years. 17% of patients were on a first-line regimen. 21% reported to miss at least one dose during the past week (STR: 6%; OD >1 pill 23% and BID 21%; p<0.05. People taking STR and BID tend to report less discontinuations (all the drug of the day for at least 3 times in a month compared to OD>1 pill (6 and 4% vs 11%. People taking therapies other than HAART reported similar adherence levels of people taking only HAART, even when stratified for dosing groups. Even people judging their adherence as ‘optimal’ or ‘very good’, 10 and 17% respectively, reported having missed a dose during the last week. At stepwise regression model, optimal adherence was correlated to being male (OR: 2.38; 95% CI: 1.19–4.74, younger (OR: 3.04; 95% CI: 1.01–9.13 and with a shorter HIV infection (OR: 3.58; 95% CI: 1.04–12.38. People taking simpler once-daily STR tend to report better adherence than people taking OD>1 pill or BID. Perception of optimal adherence is largely

  11. Incremental Interpretation of Categorial Grammar

    CERN Document Server

    Milward, D

    1995-01-01

    The paper describes a parser for Categorial Grammar which provides fully word by word incremental interpretation. The parser does not require fragments of sentences to form constituents, and thereby avoids problems of spurious ambiguity. The paper includes a brief discussion of the relationship between basic Categorial Grammar and other formalisms such as HPSG, Dependency Grammar and the Lambek Calculus. It also includes a discussion of some of the issues which arise when parsing lexicalised grammars, and the possibilities for using statistical techniques for tuning to particular languages.

  12. STUDY OF EFFICACY OF LOW DOSE MAGNESIUM SULPHATE REGIMEN (DHAKA REGIMEN AS COMPARED TO STANDARD REGIMEN (PRITCHARD IN THE MANAGEMENT OF ECLAMPSIA

    Directory of Open Access Journals (Sweden)

    Prosun

    2015-07-01

    Full Text Available BACKGROUND : Eclampsia is one of the most important cause of maternal mortality and morbidity worldwide Dr . J . A . Pritchard in 1955 , introduced magnesium sulphate for control of convulsions in eclampsia and now magnesium sulfate is the anticonvulsant drug of choice for both prevention and treatment of eclampsia , but due to its narrow therapeutic window its dose - related toxicity is a major concern . Considering the lower body weight of Indian women than wes tern counter part , different low dose magnesium sulphate regime has been formulated in different parts of India and Bangladesh and these modifications appeared to reduce drug toxicity . The Objective was to compare the efficacy of low dose magnesium sulphat e regimen ( Dhaka regimen with standard Pritchard’s regimen for management of eclampsia . METHODS: This was a hospital based prospective study conducted in the Dept . of O & G of VSSMCH , Burla from Oct . 2012 to S ept . 2014 . Total 300 patients with eclampsia were included in study and randomly distributed into two groups containing 150 patients each in both Dhaka & Pritchard groups . The statistical software SPSS version 20 has been used for the analysis . An alpha error of 5% has been taken as significant . RESU LTS: In the present study , there is no recurrence of convulsion among both the groups . The Dhaka regimen was associated with significantly lower deep tendon reflex loss ( 2 . 67% vs 8 . 0%; P =0 . 040 , significantly lower total amount of Mgso4 requirement , and lower maternal mortality ( 3 . 33% vs 6 . 67%; P = 0 . 185 as compared with the standerd Pritchard regimen . CONCLUSIONS : The maternal morbidity and mortality in the present study were comparable to those of standard Pritchard’s regimen . The Dhaka regimen was equ ally effective and more safe for the management of eclampsia in a region where most women are of low body weight KEYWORDS: Antepartum E clampsia ; Magnesium S ulphate; Dhaka R egimen; Pritchard R

  13. International Conference on Category Theory

    CERN Document Server

    Pedicchio, Maria; Rosolini, Guiseppe

    1991-01-01

    With one exception, these papers are original and fully refereed research articles on various applications of Category Theory to Algebraic Topology, Logic and Computer Science. The exception is an outstanding and lengthy survey paper by Joyal/Street (80 pp) on a growing subject: it gives an account of classical Tannaka duality in such a way as to be accessible to the general mathematical reader, and to provide a key for entry to more recent developments and quantum groups. No expertise in either representation theory or category theory is assumed. Topics such as the Fourier cotransform, Tannaka duality for homogeneous spaces, braided tensor categories, Yang-Baxter operators, Knot invariants and quantum groups are introduced and studies. From the Contents: P.J. Freyd: Algebraically complete categories.- J.M.E. Hyland: First steps in synthetic domain theory.- G. Janelidze, W. Tholen: How algebraic is the change-of-base functor?.- A. Joyal, R. Street: An introduction to Tannaka duality and quantum groups.- A. Jo...

  14. Comparing categories among geographic ontologies

    Science.gov (United States)

    Kavouras, Marinos; Kokla, Margarita; Tomai, Eleni

    2005-03-01

    Numerous attempts have been made to generate semantic "mappings" between different ontologies, or create aligned/integrated ones. An essential step towards their success is the ability to compare the categories involved. This paper introduces a systematic methodology for comparing categories met in geographic ontologies. The methodology explores/extracts semantic information provided by categories' definitions. The first step towards this goal is the recognition of syntactic and lexical patterns in definitions, which help to identify (a) semantic properties such as purpose, location, cover, and (b) semantic relations such as hypernym, part of, has-parts, etc. At the second step, a similarity measure among categories is applied, in order to explore how (the) extracted properties and relations interrelate. This framework enables us to (a) better understand the impact of context in cross-ontology "mappings", (b) evaluate the "quality" of definitions as to whether they respect mere ontological aspects (such as unambiguous taxonomies), and (c) deal more effectively with the problem of semantic translation among geographic ontologies.

  15. A category of its own?

    DEFF Research Database (Denmark)

    Elklit, Jørgen; Roberts, Nigel S.

    1996-01-01

    At first sight, the electoral systems in Denmark, Germany, South Africa and Sweden may seem different and attaempt to categorize them together odd. All four, however, belong to the same category, which Arend Lijphart calls 'proportional representation two-tier districting systems', and the effect...

  16. Learnable Classes of Categorial Grammars.

    Science.gov (United States)

    Kanazawa, Makoto

    Learnability theory is an attempt to illuminate the concept of learnability using a mathematical model of learning. Two models of learning of categorial grammars are examined here: the standard model, in which sentences presented to the learner are flat strings of words, and one in which sentences are presented in the form of functor-argument…

  17. Mosquito and Blackfly Category Manual.

    Science.gov (United States)

    Bowman, James S.; And Others

    This manual provides information needed to meet the standards for pesticide applicator certification. Section one is concerned with the morphology, life cycle and breeding areas of mosquitoes and the diseases resulting from their presence. The second section covers similar categories in relation to the black fly population. Calculation methods and…

  18. Hybrid Therapy Regimen for Helicobacter Pylori Eradication

    Institute of Scientific and Technical Information of China (English)

    Zhi-Qiang Song; Jian Liu; Li-Ya Zhou

    2016-01-01

    Objective:Helicobacterpylori (H.pylori) eradication remains a challenge with increasing antibiotic resistance.Hybrid therapy has attracted widespread attention because of initial report with good efficacy and safety.However,many issues on hybrid therapy are still unclear such as the eradication efficacy,safety,compliance,influencing factors,correlation with antibiotic resistance,and comparison with other regimens.Therefore,a comprehensive review on the evidence of hybrid therapy for H.pylori infection was conducted.Data Sources:The data used in this review were mainly from PubMed articles published in English up to September 30,2015,searching by the terms of"Helicobacterpylori" or "H.pylori",and "hybrid".Study Selection:Clinical research articles were selected mainly according to their level of relevance to this topic.Results:Totally,1871 patients of 12 studies received hybrid therapy.The eradication rates were 77.6-97.4% in intention-to-treat and 82.6-99.1% in per-protocol analyses.Compliance was 93.3-100.0%,overall adverse effects rate was 14.5-67.5%,and discontinued medication rate due to adverse effects was 0-6.7%.H.pylori culture and sensitivity test were performed only in 13.3% patients.Pooled analysis showed that the eradication rates with dual clarithromycin and metronidazole susceptible,isolated metronidazole or clarithromycin resistance,and dual clarithromycin and metronidazole resistance were 98.5%,97.6%,92.9%,and 80.0%,respectively.Overall,the efficacy,compliance,and safety of hybrid therapy were similar with sequential or concomitant therapy.However,hybrid therapy might be superior to sequential therapy in Asians.Conclusions:Hybrid therapy showed wide differences in the efficacy but consistently good compliance and safety across different regions.Dual clarithromycin and metronidazole resistance were the key factor to efficacy.Hybrid therapy was similar to sequential or concomitant therapy in the efficacy,safety,and compliance.

  19. NOVP: a novel chemotherapeutic regimen with minimal toxicity for treatment of Hodgkin's disease

    International Nuclear Information System (INIS)

    Patients with early-staged Hodgkin's disease have had a higher relapse rate following radiotherapy alone if they have B symptoms, large mediastinal masses, hilar involvement, or stage III disease. From June 1988 to December 1989, 27 previously untreated patients with early-staged Hodgkin's disease with adverse features for disease-free survival received combined-modality therapy. Seventeen patients had stage I or II disease, 10 had stage III, 5 had B symptoms, 13 had large mediastinal masses, and 6 had peripheral masses measuring 10 cm or more in diameter. All patients initially received three cycles of a novel chemotherapeutic regimen combining Novantrone (mitoxantrone, American Cyanamid Company), vincristine, vinblastine, and prednisone (NOVP). Twenty-four patients with clinically staged I or II disease with adverse features or stage III disease did not undergo laparotomy; three patients had favorable stage I or II disease and at laparotomy had stage III disease. Radiotherapy-treatment fields depended on the extent of nodal involvement. Twenty-six patients completed all therapy as planned to complete remission (CR) and one of these has had progression; she is in second CR following additional radiotherapy. With a median follow-up of 12 months, all patients are alive. Tolerance to treatment was excellent with only grade 1 or 2 nausea, alopecia and myalgias, and brief myelosuppression. NOVP is an effective adjuvant chemotherapy regimen for inducing responses, with minimal toxicity, prior to definitive radiotherapy for patients with early-staged Hodgkin's disease

  20. NOVP: a novel chemotherapeutic regimen with minimal toxicity for treatment of Hodgkin's disease

    Energy Technology Data Exchange (ETDEWEB)

    Hagemeister, F.B.; Cabanillas, F.; Velasquez, W.S.; Meistrich, M.L.; Liang, J.C.; McLaughlin, P.; Redman, J.R.; Romaguera, J.E.; Rodriguez, M.A.; Swan, F. Jr. (Univ. of Texas, M.D. Anderson Cancer Center, Houston (USA))

    1990-12-01

    Patients with early-staged Hodgkin's disease have had a higher relapse rate following radiotherapy alone if they have B symptoms, large mediastinal masses, hilar involvement, or stage III disease. From June 1988 to December 1989, 27 previously untreated patients with early-staged Hodgkin's disease with adverse features for disease-free survival received combined-modality therapy. Seventeen patients had stage I or II disease, 10 had stage III, 5 had B symptoms, 13 had large mediastinal masses, and 6 had peripheral masses measuring 10 cm or more in diameter. All patients initially received three cycles of a novel chemotherapeutic regimen combining Novantrone (mitoxantrone, American Cyanamid Company), vincristine, vinblastine, and prednisone (NOVP). Twenty-four patients with clinically staged I or II disease with adverse features or stage III disease did not undergo laparotomy; three patients had favorable stage I or II disease and at laparotomy had stage III disease. Radiotherapy-treatment fields depended on the extent of nodal involvement. Twenty-six patients completed all therapy as planned to complete remission (CR) and one of these has had progression; she is in second CR following additional radiotherapy. With a median follow-up of 12 months, all patients are alive. Tolerance to treatment was excellent with only grade 1 or 2 nausea, alopecia and myalgias, and brief myelosuppression. NOVP is an effective adjuvant chemotherapy regimen for inducing responses, with minimal toxicity, prior to definitive radiotherapy for patients with early-staged Hodgkin's disease.

  1. Chemotherapy Regimen Extends Survival in Advanced Pancreatic Cancer Patients

    Science.gov (United States)

    A four-drug chemotherapy regimen has produced the longest improvement in survival ever seen in a phase III clinical trial of patients with metastatic pancreatic cancer, one of the deadliest types of cancer.

  2. “Rescue” regimens after Helicobacter pylori treatment failure

    OpenAIRE

    Javier P Gisbert

    2008-01-01

    Helicobacter pylori (H pylori) infection is the main cause of gastritis, gastroduodenal ulcer disease, and gastric cancer. After more than 20 years of experience in H pylori treatment, in my opinion, the ideal regimen to treat this infection is still to be found. Currently, apart from having to know first-line eradication regimens well, we must also be prepared to face treatment failures. Therefore, in designing a treatment strategy we should not focus on the results of primary therapy alone,...

  3. Predictors of nonadherence with blood pressure regimens in hemodialysis

    OpenAIRE

    Kauric-Klein Z

    2013-01-01

    Zorica Kauric-KleinCollege of Nursing, Wayne State University, Detroit, MI, USABackground: Hypertension is very poorly controlled in patients on hemodialysis (HD). Demographic and psychosocial predictors of nonadherence with blood pressure (BP) regimens in HD have not been investigated. A study of 118 HD patients from six outpatient HD units was conducted to determine the relationship between demographic/psychosocial factors and adherence with BP-related regimens, ie, fluid restriction, BP me...

  4. Functional categories in comparative linguistics

    DEFF Research Database (Denmark)

    Rijkhoff, Jan

    Guinea highlands. Man 2-1, 5-25. Evans, Nicholas. 2009. Trelisses of the mind: how language trains thought. Chapter 8 of Dying Words: Endangered Languages and What They Have to Tell Us, 159-181. Malden MA: Wiley-Blackwell. Evans, Nicholas and Stephen Levinson. 2009. The myth of language universals......Functional categories in comparative linguistics Even after many decades of typological research, the biggest methodological problem still concerns the fundamental question: how can we be sure that we identify and compare the same linguistic form, structure, meaning etc. across languages? Very few...... in their attempt to account for cross-linguistic ordering tendencies (Rijkhoff 2009a).       Recent proposals to employ ‘concepts’ as the basis for cross-linguistic comparison (apparently conflating linguistic/semantic and non-linguistic/cognitive categories) have also met with considerable skepticism (Levinson...

  5. Seismic Category I Structures Program

    International Nuclear Information System (INIS)

    The Seismic Category I Structures Program currently being carried out at the Los Alamos National Laboratory is sponsored by the Mechanical/Structural Engineering Branch, Division of Engineering Technology of the Nuclear Regulatory Commission (NRC). This project is part of a program designed to increase confidence in the assessment of Category I nuclear power plant structural behavior beyond the design limit. The program involves the design, construction, and testing of heavily reinforced concrete models of auxiliary buildings, fuel-handling buildings, etc., but doe not include the reactor containment building. The overall goal of the program is to supply to the Nuclear Regulatory Commission experimental information and a validated procedure to establish the sensitivity of the dynamic response of these structures to earthquakes of magnitude beyond the design basis earthquake

  6. A Formal Calculus for Categories

    DEFF Research Database (Denmark)

    Cáccamo, Mario José

    This dissertation studies the logic underlying category theory. In particular we present a formal calculus for reasoning about universal properties. The aim is to systematise judgements about functoriality and naturality central to categorical reasoning. The calculus is based on a language which...... extends the typed lambda calculus with new binders to represent universal constructions. The types of the languages are interpreted as locally small categories and the expressions represent functors. The logic supports a syntactic treatment of universality and duality. Contravariance requires a definition...... of universality generous enough to deal with functors of mixed variance. Ends generalise limits to cover these kinds of functors and moreover provide the basis for a very convenient algebraic manipulation of expressions. The equational theory of the lambda calculus is extended with new rules for the definitions...

  7. 14 CFR 23.3 - Airplane categories.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Airplane categories. 23.3 Section 23.3... STANDARDS: NORMAL, UTILITY, ACROBATIC, AND COMMUTER CATEGORY AIRPLANES General § 23.3 Airplane categories. (a) The normal category is limited to airplanes that have a seating configuration, excluding...

  8. Highest Weight Categories For Number Rings

    CERN Document Server

    Pilkington, Annette

    2011-01-01

    This paper examines the concept of a stratified exact category in the context of number rings and corresponding Galois groups. BGG reciprocity and duality are proven for these categories making them highest weight categories. The strong connections between the structure of the category and ramification in the ring are explored.

  9. Generalization of category knowledge and dimensional categorization in humans (Homo sapiens) and nonhuman primates (Macaca mulatta).

    Science.gov (United States)

    Smith, J David; Zakrzewski, Alexandria C; Johnston, Jennifer J R; Roeder, Jessica L; Boomer, Joseph; Ashby, F Gregory; Church, Barbara A

    2015-10-01

    A theoretical framework within neuroscience distinguishes humans' implicit and explicit systems for category learning. We used a perceptual-categorization paradigm to ask whether nonhumans share elements of these systems. Participants learned categories that foster implicit or explicit categorization in humans, because they had a multidimensional, information-integration (II) solution or a unidimensional, rule-based (RB) solution. Then humans and macaques generalized their category knowledge to new, untested regions of the stimulus space. II generalization was impaired, suggesting that II category learning is conditioned and constrained by stimulus generalization to its original, trained stimulus contexts. RB generalization was nearly seamless, suggesting that RB category knowledge in humans and monkeys has properties that grant it some independence from the original, trained stimulus contexts. These findings raise the questions of (a) how closely macaques' dimensional categorization verges on humans' explicit/declarative categorization, and (b) how far macaques' dimensional categorization has advanced beyond that in other vertebrate species. PMID:26167774

  10. Compliance with Xylitol and Sorbitol Chewing Gum Regimens in Clinical Trials

    Science.gov (United States)

    BRETZ, WALTER A.; ROSA, ODILA P. S.; SILVA, SALETE M. B.; CORBY, PATRICIA M. A.; MILANDA, MARCELO; LOESCHE, WALTER J.

    2011-01-01

    Objective The purpose of this study was to investigate compliance of long-term xylitol and sorbitol chewing gum regimens in adult women participating in a double-blind randomized controlled clinical trial. Design The participants included 122 mothers (age range: 16–35 years) residing in the city of Bauru, São Paulo, Brazil. Compliance with the xylitol and sorbitol chewing gum regimens was assessed by weighing, with a precision balance, all used gums returned in zip-lock bags during the study period of 33 months. The total number of returned bags in both chewing gum groups was computed and the differences between groups were determined by one-way ANOVA. Compliance was further categorized into excellent, good, fair or poor based on the distribution of the combined data for both groups by quartiles. These distributions for the xylitol and sorbitol groups were subjected to chi-square analysis. Results Compliance was always superior for the xylitol group in all categories. These distributions were, however, not significantly different in statistical terms. Average compliance in the xylitol chewing gum group was significantly higher when compared to the sorbitol chewing gum group (p=0.0481). Conclusions The results suggest that compliance, and possibly acceptance in this population, was superior for xylitol chewing gum than for sorbitol chewing gum. PMID:22241940

  11. Heterogeneity in Perceptual Category Learning by High Functioning Children with Autism Spectrum Disorder

    Directory of Open Access Journals (Sweden)

    Eduardo eMercado

    2015-06-01

    Full Text Available Previous research suggests that high functioning children with Autism Spectrum Disorder (ASD sometimes have problems learning categories, but often appear to perform normally in categorization tasks. The deficits that individuals with ASD show when learning categories have been attributed to executive dysfunction, general deficits in implicit learning, atypical cognitive strategies, or abnormal perceptual biases and abilities. Several of these psychological explanations for category learning deficits have been associated with neural abnormalities such as cortical underconnectivity. The present study evaluated how well existing neurally-based theories account for atypical perceptual category learning shown by high functioning children with ASD across multiple category learning tasks involving novel, abstract shapes. Consistent with earlier results, children’s performances revealed two distinct patterns of learning and generalization associated with ASD: one was indistinguishable from performance in typically developing children; the other revealed dramatic impairments. These two patterns were evident regardless of training regimen or stimulus set. Surprisingly, some children with ASD showed both patterns. Simulations of perceptual category learning could account for the two observed patterns in terms of differences in neural plasticity. However, no current psychological or neural theory adequately explains why a child with ASD might show such large fluctuations in category learning ability across training conditions or stimulus sets.

  12. Development of antibiotic regimens using graph based evolutionary algorithms.

    Science.gov (United States)

    Corns, Steven M; Ashlock, Daniel A; Bryden, Kenneth M

    2013-12-01

    This paper examines the use of evolutionary algorithms in the development of antibiotic regimens given to production animals. A model is constructed that combines the lifespan of the animal and the bacteria living in the animal's gastro-intestinal tract from the early finishing stage until the animal reaches market weight. This model is used as the fitness evaluation for a set of graph based evolutionary algorithms to assess the impact of diversity control on the evolving antibiotic regimens. The graph based evolutionary algorithms have two objectives: to find an antibiotic treatment regimen that maintains the weight gain and health benefits of antibiotic use and to reduce the risk of spreading antibiotic resistant bacteria. This study examines different regimens of tylosin phosphate use on bacteria populations divided into Gram positive and Gram negative types, with a focus on Campylobacter spp. Treatment regimens were found that provided decreased antibiotic resistance relative to conventional methods while providing nearly the same benefits as conventional antibiotic regimes. By using a graph to control the information flow in the evolutionary algorithm, a variety of solutions along the Pareto front can be found automatically for this and other multi-objective problems.

  13. Clofarabine in combination with a standard remission induction regimen (cytosine arabinoside and idarubicin) in patients with previously untreated intermediate and bad-risk acute myelogenous leukemia (AML) or high-risk myelodysplastic syndrome (HR-MDS): phase I results of an ongoing phase I/II study of the leukemia groups of EORTC and GIMEMA (EORTC GIMEMA 06061/AML-14A trial).

    Science.gov (United States)

    Willemze, R; Suciu, S; Muus, P; Halkes, C J M; Meloni, G; Meert, L; Karrasch, M; Rapion, J; Vignetti, M; Amadori, S; de Witte, T; Marie, J P

    2014-06-01

    This study aims to determine the maximum tolerated dose (MTD) of clofarabine combined with the EORTC-GIMEMA 3 + 10 induction regimen (idarubicin + cytosine arabinoside) in adults with untreated acute myelogenous leukemia or high-risk myelodysplastic syndrome. In this phase I trial, 25 patients (median age 56 years) received 5 days of clofarabine as 1-h infusion (arm A) or push injection (arm B) at the dose level of 5 × 10 or 5 × 15 mg/m(2)/day in an algorithmic dose escalation 3 + 3 design. A consolidation course (intermediate dose cytosine arabinoside, idarubicin) was planned for patients in complete remission (CR). Primary endpoint was safety and tolerance as measured by dose limiting toxicity (DLT); secondary endpoints were response rate, other grade III/IV toxicities, and hematological recovery after induction and consolidation. Five DLTs were observed (in arm A: one DLT at 10 mg/m(2)/day, three at 15 mg/m(2)/day; in arm B: one DLT at 15 mg/m(2)/day). Three patients receiving 15 mg/m(2)/day were withdrawn due to adverse events not classified as DLT. Prolonged hypoplasia was observed in five patients. CR + complete remission with incomplete recovery were achieved in 21 patients (11/12 (92 %) receiving clofarabine 10 mg/m(2)/day; 10/13 (77 %) receiving clofarabine 15 mg/m(2)/day). Clofarabine, 5 × 10 mg/m(2)/day, resulted in one DLT and no early treatment withdrawals. MTD of clofarabine combined with cytosine arabinoside and idarubicin is 5 × 10 mg/m(2)/day. PMID:24682421

  14. The universality of categories and meaning: a Coserian perspective

    OpenAIRE

    Willems, Klaas

    2016-01-01

    Studies in linguistic typology have challenged the idea that languages can be analyzed in terms of a set of preestablished universal categories. Each language should instead be described “in its own terms,” a view consistent with the ‘old’ structuralist paradigm in linguistics. The renewed orientation toward differences between languages raises two questions: (i) How do we identify the meanings which are assumed to be crosslinguistically comparable? (ii) What is t...

  15. Analgesic regimens for third molar surgery: pharmacologic and behavioral considerations.

    Science.gov (United States)

    Moore, P A; Werther, J R; Seldin, E B; Stevens, C M

    1986-11-01

    The level of pain following the extraction of impacted third molars was evaluated in 75 patients. Participants were administered acetaminophen 1,000 mg or a placebo before surgery. After surgery, acetaminophen 650 mg was administered either at fixed intervals or as needed to relieve pain. When acetaminophen was administered before surgery, the onset of peak pain was delayed and patient discomfort was decreased 3, 4, and 5 hours after surgery. Patients following the fixed interval regimen after surgery experienced more pain overall and requested the backup narcotic analgesic more frequently. Of the regimens tested, patients preferred the regimen of acetaminophen 1,000 mg administered before surgery with acetaminophen administered as needed for pain after surgery. PMID:3465787

  16. Lexically guided retuning of visual phonetic categories.

    Science.gov (United States)

    van der Zande, Patrick; Jesse, Alexandra; Cutler, Anne

    2013-07-01

    Listeners retune the boundaries between phonetic categories to adjust to individual speakers' productions. Lexical information, for example, indicates what an unusual sound is supposed to be, and boundary retuning then enables the speaker's sound to be included in the appropriate auditory phonetic category. In this study, it was investigated whether lexical knowledge that is known to guide the retuning of auditory phonetic categories, can also retune visual phonetic categories. In Experiment 1, exposure to a visual idiosyncrasy in ambiguous audiovisually presented target words in a lexical decision task indeed resulted in retuning of the visual category boundary based on the disambiguating lexical context. In Experiment 2 it was tested whether lexical information retunes visual categories directly, or indirectly through the generalization from retuned auditory phonetic categories. Here, participants were exposed to auditory-only versions of the same ambiguous target words as in Experiment 1. Auditory phonetic categories were retuned by lexical knowledge, but no shifts were observed for the visual phonetic categories. Lexical knowledge can therefore guide retuning of visual phonetic categories, but lexically guided retuning of auditory phonetic categories is not generalized to visual categories. Rather, listeners adjust auditory and visual phonetic categories to talker idiosyncrasies separately. PMID:23862831

  17. Characteristics of HIV antiretroviral regimen and treatment adherence

    Directory of Open Access Journals (Sweden)

    Vera Lúcia da Silveira

    2003-06-01

    Full Text Available The relationship between characteristics of HIV antiretroviral regimens and treatment adherence was studied in adolescent and adult patients who underwent antiretroviral therapy from January 1998 to September 2000, at the Service for Specialized Assistance in Pelotas. The patients were interviewed on two occasions, and the use of antiretrovirals during the previous 48 hours was investigated by a self-report. Adherence was defined as use of 95% or more of the prescribed medication. Social-demographic variables were collected through direct questionnaires. The antiretroviral regimen and clinical data were copied from the patients' records. Associations between the independent variables and adherence were analyzed by means of logistic regression. The multivariate analysis included characteristics of the antiretroviral regimens, social-demographic variables, as well as perception of negative effects, negative physiological states, and adverse effects of the treatment. Among the 224 selected patients, 194 participated in our study. Their ages varied from 17 to 67 years; most patients were men, with few years of schooling and a low family income. Only 49% adhered to the treatment. Adherence to treatment regimens was reduced when more daily doses were indicated: three to four doses (odds ratio of adherence to treatment (OR=0.47, 95% confidence interval (CI 0.22-1.01 and five to six (OR=0.24, 95% CI 0.09-0.62; two or more doses taken in a fasting state (OR=0.59, 95% CI 0.11-0.68, and for patients who reported adverse effects to the treatment (OR=0.39, 95% CI 0.19-0.77. Most of the regimens with more than two daily doses of medication included at least one dose apart from mealtimes. The results suggest that, if possible, regimens with a reduced number of doses should be chosen, with no compulsory fasting, and with few adverse effects. Strategies to minimize these effects should be discussed with the patients.

  18. Seismic Category I Structures Program

    International Nuclear Information System (INIS)

    With the use of different size scale models, the Seismic Category I Structures Program has demonstrated consistent results for measured values of stiffness at working loads. Furthermore, the values are well below the theoretical stiffnesses calculated from an uncracked strength-of-materials approach. The scale model structures, which are also models of each other, have demonstrated scalability between models. The current effort is to demonstrate that the use of microconcrete and other modeling effects do not introduce significant distortions that could drastically change conclusions regarding prototype behavior for these very stiff, shear-dominated structures. Working closely with the technical review group (TRG) for this program, structures have been designed and tests have been planned that will help to resolve issues surrounding the use of microconcrete scale models

  19. Virtue Ethics: The Misleading Category

    Directory of Open Access Journals (Sweden)

    Martha Nussbaum

    1998-12-01

    Full Text Available Virtue ethics is frequently considered to be a single category of ethical theory, and a rival to Kantianismand Utilitarianism. I argue that this approach is a mistake, because both Kantians and Utilitarians can, and do, have an interest in the virtues and the forrnation of character. But even if we focus on the group of ethical theorists who are most commonly called "virtue theorists" because they reject the guidance of both Kantianism and Utilitarianism, and derive inspiration from ancient Greek ethics, there is little unity to this group. Although there is a thin common ground that links all the group's members - a focus on the formation of character, on the nature of the passions, and on choice over the whole course of life - there are also crucial differences among them.

  20. BGP reflection functors in root categories

    Institute of Scientific and Technical Information of China (English)

    XIAO; Jie; ZHANG; Guanglian; ZHU; Bin

    2005-01-01

    We define the BGP-reflection functors in the derived categories and the root categories. By Ringel's Hall algebra approach, the BGP-reflection functor is applicable to obtain the classical Weyl group action on the Lie algebra.

  1. Category of Generalized Intuitionistic Fuzzy Sets

    Institute of Scientific and Technical Information of China (English)

    YANGWan-cai; LIXiao-shen

    2005-01-01

    In this paper, category GIFS of generalized intuitionistic fuzzy sets(GIF) is built up. Topoi properties of category GIFS axe studied. Firstly, it is proved that the category GIFS has all topoi properties except that it has no subobject classifiers, Secondly, it is proved that the category GIFS has middle object and consequently GIFS is a weak topos.Thirdly, by the use of theory of weak topos GIFS,the power object of an object in GIFS is studied.

  2. A convenient category for directed homotopy

    DEFF Research Database (Denmark)

    Fajstrup, Lisbeth; Rosický, J.

    We propose a convenient category for directed homotopy consisting of preordered topological spaces generated by cubes. Its main advantage is that, like the category of topological spaces generated by simplices suggested by J. H. Smith, it is locally presentable.......We propose a convenient category for directed homotopy consisting of preordered topological spaces generated by cubes. Its main advantage is that, like the category of topological spaces generated by simplices suggested by J. H. Smith, it is locally presentable....

  3. Abelian crossed modules and strict Picard categories

    OpenAIRE

    Quang, Nguyen Tien; Phung, Che Thi Kim; Tung, Ngo Sy

    2013-01-01

    In this paper, we state the notion of morphisms in the category of abelian crossed modules and prove that this category is equivalent to the category of strict Picard categories and regular symmetric monoidal functors. The theory of obstructions for symmetric monoidal functors and symmetric cohomology groups are applied to show a treatment of the group extension problem of the type of an abelian crossed module.

  4. Lexically guided retuning of visual phonetic categories

    OpenAIRE

    Van der Zande, P.; Jesse, A.; Cutler, A.

    2013-01-01

    Listeners retune the boundaries between phonetic categories to adjust to individual speakers' productions. Lexical information, for example, indicates what an unusual sound is supposed to be, and boundary retuning then enables the speaker's sound to be included in the appropriate auditory phonetic category. In this study, it was investigated whether lexical knowledge that is known to guide the retuning of auditory phonetic categories, can also retune visual phonetic categories. In Experiment ...

  5. On Flat Objects of Finitely Accessible Categories

    Directory of Open Access Journals (Sweden)

    Septimiu Crivei

    2013-01-01

    Full Text Available Flat objects of a finitely accessible additive category are described in terms of some objects of the associated functor category of , called strongly flat functors. We study closure properties of the class of strongly flat functors, and we use them to deduce the known result that every object of a finitely accessible abelian category has a flat cover.

  6. Client Verbal Response Category System: Preliminary Data.

    Science.gov (United States)

    Meier, Augustine; Boivin, Micheline

    1986-01-01

    The Client Verbal Response Category System classifies client responses into Temporal, Directional and Experiential categories. The categories with their subcategories are defined, interjudge reliability data is presented, and the instrument's utility in psychotherapy process research is demonstrated. Initial results indicate that the instrument is…

  7. Cascade category-aware visual search.

    Science.gov (United States)

    Zhang, Shiliang; Tian, Qi; Huang, Qingming; Gao, Wen; Rui, Yong

    2014-06-01

    Incorporating image classification into image retrieval system brings many attractive advantages. For instance, the search space can be narrowed down by rejecting images in irrelevant categories of the query. The retrieved images can be more consistent in semantics by indexing and returning images in the relevant categories together. However, due to their different goals on recognition accuracy and retrieval scalability, it is hard to efficiently incorporate most image classification works into large-scale image search. To study this problem, we propose cascade category-aware visual search, which utilizes weak category clue to achieve better retrieval accuracy, efficiency, and memory consumption. To capture the category and visual clues of an image, we first learn category-visual words, which are discriminative and repeatable local features labeled with categories. By identifying category-visual words in database images, we are able to discard noisy local features and extract image visual and category clues, which are hence recorded in a hierarchical index structure. Our retrieval system narrows down the search space by: 1) filtering the noisy local features in query; 2) rejecting irrelevant categories in database; and 3) preforming discriminative visual search in relevant categories. The proposed algorithm is tested on object search, landmark search, and large-scale similar image search on the large-scale LSVRC10 data set. Although the category clue introduced is weak, our algorithm still shows substantial advantages in retrieval accuracy, efficiency, and memory consumption than the state-of-the-art.

  8. Using Wikipedia categories for ad hoc search

    NARCIS (Netherlands)

    R. Kaptein; M. Koolen; J. Kamps

    2009-01-01

    In this paper we explore the use of category information for ad hoc retrieval in Wikipedia. We show that techniques for entity ranking exploiting this category information can also be applied to ad hoc topics and lead to significant improvements. Automatically assigned target categories are good sur

  9. Adherence to treatment of chronic hepatitis C: from interferon containing regimens to interferon and ribavirin free regimens

    Science.gov (United States)

    Younossi, Zobair M.; Stepanova, Maria; Henry, Linda; Nader, Fatema; Younossi, Youssef; Hunt, Sharon

    2016-01-01

    Abstract Patients’ experience during treatment may affect treatment adherence. Our aim was to assess the impact of patient-reported outcomes (PROs) on adherence to different anti-hepatitis C virus (HCV) regimens. Clinical, demographic, and PRO data (short form-36 [SF-36], chronic liver disease questionnaire-hepatitis C version [CLDQ-HCV], functional assessment of chronic illness therapy-fatigue [FACIT-F], work productivity and activity impairment: specific health problem [WPAI:SHP]) from 13 multinational clinical trials of anti-HCV treatment were available. Treatment adherence was defined as >80% of prescribed doses taken. Included were 4825 HCV patients. Regimens were grouped into: interferon- and ribavirin (RBV)-containing (±sofosbuvir [SOF]), interferon-free RBV-containing (RBV + SOF ± ledipasvir [LDV]), and interferon-free RBV-free (LDV/SOF). The adherence to these regimens were 77.6%, 84.3%, and 96.2%, respectively (P  0.05) for the small number of patients who were nonadherent to LDV/SOF. In multivariate analysis, being treatment-naive, longer treatment duration, and receiving an interferon- or RBV-containing regimen were associated with a lower likelihood of adherence (all P < 0.003). Better baseline and on-treatment PRO scores were associated with a higher likelihood of adherence to interferon and RBV. The use of interferon and/or RBV, longer duration of treatment, and lower baseline and on-treatment PRO scores were linked to a decreased likelihood of being adherent to interferon + RBV-containing or interferon-free RBV-containing antiviral regimens. Interferon- and RBV-free regimens were associated with excellent adherence. PMID:27428205

  10. Once-daily dose regimen of ribavirin is interchangeable with a twice-daily dose regimen: randomized open clinical trial

    Directory of Open Access Journals (Sweden)

    Balk JM

    2015-08-01

    Full Text Available Jiska M Balk,1 Guido RMM Haenen,1 Özgür M Koc,2 Ron Peters,3 Aalt Bast,1 Wim JF van der Vijgh,1 Ger H Koek,4 1Department of Toxicology, NUTRIM School for Nutrition, Toxicology and Metabolism, Maastricht University Medical Centre, 2Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, 3DSM Resolve, Geleen, 4Department of Internal Medicine, Division of Gastroenterology and Hepatology, Maastricht University Medical Centre, Maastricht, the Netherlands Background: The combination of ribavirin (RBV and pegylated interferon (PEG-IFN is effective in the treatment of chronic hepatitis C infection. Reducing the frequency of RBV intake from twice to once a day will improve compliance and opens up the opportunity to combine RBV with new and more specific direct-acting agents in one pill. Therefore, the purpose of this study was to evaluate the pharmacokinetic profile of RBV in a once-daily to twice-daily regimen. The secondary aim was to determine tolerability as well as the severity and differences in side effects of both treatment regimens. Methods: In this randomized open-label crossover study, twelve patients with chronic type 1 hepatitis C infection and weighing more than 75 kg were treated with 180 µg of PEG-IFN weekly and 1,200 mg RBV daily for 24 weeks. The patients received RBV dosed as 1,200 mg once-daily for 12 weeks followed by RBV dosed as 600 mg twice-daily for 12 weeks, or vice versa. In addition to the pharmacokinetic profile, the hematological profile and side effects were recorded. The RBV concentrations in plasma were determined using liquid chromatography-tandem mass spectrometry. Results: Eight of twelve patients completed the study. Neither the time taken for RBV to reach peak plasma concentration nor the AUC0-last (adjusted for difference in dose was significantly different between the two groups (P>0.05. Furthermore, the once-daily regimen did not give more side effects than the twice-daily regimen (P>0

  11. Comparison of different insulin regimens in elderly patients with NIDDM

    NARCIS (Netherlands)

    Wolffenbuttel, B H; Sels, J P; Rondas-Colbers, G J; Menheere, P P; Nieuwenhuijzen Kruseman, A C

    1996-01-01

    OBJECTIVE: To compare the metabolic effects of three different frequently used regimens of insulin administration on blood glucose control and serum lipids, and the costs associated with this treatment, in subjects with NIDDM, who were poorly controlled with oral antihyperglycemic agents. RESEARCH D

  12. Outcomes of CAG Regimen for Refractory Biphenotypic Acute Leukemia Patients

    Institute of Scientific and Technical Information of China (English)

    Guang-sheng He; Xiang Zhang; De-pei Wu; Ai-ning Sun; Zheng-ming Jin; Hui-ying Qiu; Miao Miao; Xiao-wen Tang; Zheng-zheng Fu; Yue Han

    2009-01-01

    Objective To evaluated the efficiency of low-dose cytosine arabinoside plus aclarubicin with concurrent administration of granulocyte colony-stimulating factor(CAG)regimen for refractory biphenotypic acute leukemia(BAL).Methods We treated 5 refractory BAL patients by CAG regimen(10 mg·m 2 cytosine arabinoside subcutaneously administrated every 12 hours,day 1-14;5-7 mg·m2 aclarubicin intravenously administrated daily,day 1-8;and concurrently used 200 μg.m-2·d-1 granulocyte colony-stimulating factor subcutaneously)from November 2002 to April 2007.The efficacy of the regimen was evaluated by response rate,and the side effects were also measured.Results The complete remission rate was 80% ,median duration of absolute neutrophil count<5.0×108/L and platelet count<2.0×1010/L was day 13 and day 1,respectively;and the infection rate was low(Ⅲ-Ⅳ infection rate,20.00% ).Conclusion CAG regimen as remission induction chemotherapy for BAL patients is effective with a high remission rate and low toxicity.

  13. Comparison of antiplatelet regimens in secondary stroke prevention

    DEFF Research Database (Denmark)

    Christiansen, Christine Benn; Pallisgaard, Jannik; Gerds, Thomas Alexander;

    2015-01-01

    were calculated for each antiplatelet regimen. RESULTS: Among patients discharged after first-time ischemic stroke, 3043 patients were treated with acetylsalicylic acid, 12,295 with a combination of acetylsalicylic acid and dipyridamole, and 3885 with clopidogrel. Adjusted HRs for clopidogrel versus...

  14. Procedural-Based Category Learning in Patients with Parkinson's Disease: Impact of Category Number and Category Continuity

    Directory of Open Access Journals (Sweden)

    J. Vincent eFiloteo

    2014-02-01

    Full Text Available Previously we found that Parkinson's disease (PD patients are impaired in procedural-based category learning when category membership is defined by a nonlinear relationship between stimulus dimensions, but these same patients are normal when the rule is defined by a linear relationship (Filoteo et al., 2005; Maddox & Filoteo, 2001. We suggested that PD patients' impairment was due to a deficit in recruiting ‘striatal units' to represent complex nonlinear rules. In the present study, we further examined the nature of PD patients' procedural-based deficit in two experiments designed to examine the impact of (1 the number of categories, and (2 category discontinuity on learning. Results indicated that PD patients were impaired only under discontinuous category conditions but were normal when the number of categories was increased from two to four. The lack of impairment in the four-category condition suggests normal integrity of striatal medium spiny cells involved in procedural-based category learning. In contrast, and consistent with our previous observation of a nonlinear deficit, the finding that PD patients were impaired in the discontinuous condition suggests that these patients are impaired when they have to associate perceptually distinct exemplars with the same category. Theoretically, this deficit might be related to dysfunctional communication among medium spiny neurons within the striatum, particularly given that these are cholinergic neurons and a cholinergic deficiency could underlie some of PD patients’ cognitive impairment.

  15. Antibody titers in animal bite victims after post exposure vaccination with intradermally administered purified vero cell rabies vaccine using modified thai red cross regimen

    International Nuclear Information System (INIS)

    To determine the seroconversion following rabies vaccination by intradermal route in cases of animal bite attending Anti rabies center, Lahore for post exposure prophylaxis. Study Design: Cross sectional descriptive study. Place and Duration: Antirabies center, Birdwood road Lahore, Microbiology laboratory, office of Bacteriologist, Government of Punjab, Lahore. Patients and Methods: Victims of all ages and both sexes having exposure with suspected rabid animal within 24 - 72 hours were included, fulfilling inclusion and exclusion criteria, over 3 months period from February to April 20. Patients of Category II and III wounds were included. Purified vero cell vaccine (PVR V) with antigenic content> 2.5 ml was used for intradermal vaccination according to modified Thai Red Cross regimen (2-2-2-0-2). Each victim received 0.1 ml intradermal dose on each deltoid on day 0, 3, 7 and 28th day of bite. Blood samples from victims were taken on day 0, 14 and 35. Antibody titers were estimated by ELISA kit. Results: Fifty cases were studied including 20 children. Male female ratio was 4:1. Optimum serocon version (> 0.5 IU/ml) was achieved in all cases by day 14. Antibody levels increased further (> 4 IV/ml) in 92% cases on day 35. Geometric mean titers were 3.2 IU/ml and 6.2 IU/ml on day 14 and 35 respectively. Conclusion: Intradermal route for cell culture rabies vaccine for postexposure prophylaxis in animal bite victims was efficacious and safe. The smaller dosage of vaccine was economically affordable by patients in referral centers. (author)

  16. Chemotherapy for Stage IV Non-Small Cell Lung Cancer: Protocol Versus Nonprotocol? Is Noninvestigational Treatment Worthwhile? Patient Selection? Which Regimen? What's Next?

    Science.gov (United States)

    Bonomi

    1996-04-01

    The results of selected chemotherapy trials and philosophical considerations regarding the role of chemotherapy in Non-Small Cell Lung Cancer are discussed in this review. The issue of treating patients within a clinical or with a "standard regimen" is addressed. In addition, the survival results of randomized trials in which chemotherapy was compared with supportive care and the related quality of life and economic concerns are reviewed. Physicians' attitudes regarding treating advanced non-small cell lung cancer patients as well as the questions of patient selection and the choice of regimen including the consideration of single versus combination regimens are discussed. The results of single agent phase II trials that identified new agents with response rates >/=15%-paclitaxel, docetaxel, vinorelbine, gemcitabine, CPT11-are described, and their implications for the design of new clinical trials are discussed.

  17. Long-Lasting Complete Responses in Patients with Metastatic Melanoma after Adoptive Cell Therapy with Tumor-Infiltrating Lymphocytes and an Attenuated IL2 Regimen

    DEFF Research Database (Denmark)

    Andersen, Rikke; Donia, Marco; Ellebaek, Eva;

    2016-01-01

    administered together with TILs are severe. To further scrutinize whether similar results can be achieved with lower doses of IL2, we have carried out a phase I/II trial of TIL transfer after classical lymphodepleting chemotherapy followed by an attenuated IL2 regimen. EXPERIMENTAL DESIGN: Twenty-five patients...... decrescendo regimen (ClinicalTrials.gov Identifier: NCT00937625). RESULTS: Classical IL2-related toxicities were observed but patients were manageable in a general oncology ward without the need for intervention from the intensive care unit. RECIST 1.0 evaluation displayed three complete responses and seven...... to treatment. CONCLUSIONS: TIL-ACT with a reduced IL2 decrescendo regimen results in long-lasting complete responses in patients with treatment-refractory melanoma. Larger randomized trials are needed to elucidate whether clinical efficacy is comparable with TIL-ACT followed by HD bolus IL2. Clin Cancer Res...

  18. Similarities in Choice Behavior Across Product Categories

    OpenAIRE

    Andrew Ainslie; Peter E. Rossi

    1998-01-01

    Differences between consumers in sensitivity to marketing mix variables have been extensively documented in the scanner panel data. All studies of consumer heterogeneity focus on a specific category of products and ignore the fact that the purchase behavior of panel households is often observed simultaneously in multiple categories. If sensitivity to marketing mix variables is a common consumer trait, then one should expect to see similarities in sensitivity across multiple categories. The go...

  19. Efficacy of a Morinda citrifolia Based Skin Care Regimen

    Directory of Open Access Journals (Sweden)

    Brett J. West

    2012-04-01

    Full Text Available A six week clinical trial of a Morinda citrifolia (noni based skin care regimen was conducted with 49 women, ages 38 to 55 years. Daily application of three product formulations to the face and neck resulted in significant reductions in lateral canthal fine lines and wrinkles (crow’s feet, as measured by technician scoring and digital image analysis. Use of the regimen also improved skin elasticity and firmness Cutometer® measurements. No evidence of skin irritation was present in any participant at any time during the trial. A study questionnaire revealed that the measured improvements were visibly perceptible to more than 90% of the participants. The trial results substantiate traditional uses of the noni plant to improve skin health.

  20. Fukaya categories as categorical Morse homology

    CERN Document Server

    Nadler, David

    2011-01-01

    The Fukaya category of a Weinstein manifold is an intricate symplectic invariant of high interest in mirror symmetry and geometric representation theory. We show in analogy with Morse homology that the Fukaya category can be obtained by gluing together Fukaya categories of Weinstein cells. Our main technical result is a d\\'evissage pattern for Lagrangian branes parallel to that for constructible sheaves. As an application, we exhibit the Fukaya category as the global sections of a sheaf on the conic topology of the Weinstein manifold. This can be viewed as a symplectic analogue of the well-known algebraic and topological theories of (micro)localization.

  1. Stable Postnikov data of Picard 2-categories

    OpenAIRE

    Gurski, Nick; Johnson, Niles; Osorno, Angélica M.; Stephan, Marc

    2016-01-01

    Picard 2-categories are symmetric monoidal 2-categories with invertible 0-, 1-, and 2-cells. The classifying space of a Picard 2-category $\\mathcal{D}$ is an infinite loop space, the zeroth space of the $K$-theory spectrum $K\\mathcal{D}$. This spectrum has stable homotopy groups concentrated in levels 0, 1, and 2. In this paper, we describe part of the Postnikov data of $K\\mathcal{D}$ in terms of categorical structure. We use this to show that there is no strict skeletal Picard 2-category who...

  2. Pharmacoeconomic Consequences of Variable Patient Compliance With Prescribed Drug Regimens

    OpenAIRE

    John Urquhart

    1999-01-01

    Variable compliance with prescribed drug regimens is a leading source of variability in drug response. Specifics differ by drug and disease. The role of variable compliance was clearly defined in 2 trials of lipid-lowering agents, cholestyramine and gemfibrozil, in which exceptionally careful measurements of compliance were made, which has not been done in later trials. Economic consequences of variable compliance are estimated by converting dose-dependent changes in absolute risk of incident...

  3. Principles for designing future regimens for multidrug-resistant tuberculosis

    OpenAIRE

    2014-01-01

    Fewer than 20% of patients with multidrug-resistant (MDR) tuberculosis are receiving treatment and there is an urgent need to scale up treatment programmes. One of the biggest barriers to scale-up is the treatment regimen, which is lengthy, complex, ineffective, poorly tolerated and expensive. For the first time in over 50 years, new drugs have been developed specifically to treat tuberculosis, with bedaquiline and potentially delamanid expected to be available soon for treatment of MDR cases...

  4. Recent advances in tuberculosis: New drugs and treatment regimens

    OpenAIRE

    Sloan, Derek J; Davies, Geraint R.; Khoo, Saye H.

    2013-01-01

    The current treatment regimen against drug susceptible tuberculosis (DS-TB) was defined by the 1980s. Since then the emergence of the global HIV pandemic and the escalation of drug resistant (DR−) forms of TB have presented new challenges for therapeutic research. Priority goals include shortening DS-TB treatment, improving DR-TB treatment and making combined TB-HIV therapy easier. To help achieve these goals, a range of new drugs and treatment strategies are currently being evaluated. Phase ...

  5. Care of Patients With HIV Infection: Antiretroviral Drug Regimens.

    Science.gov (United States)

    Bolduc, Philip; Roder, Navid; Colgate, Emily; Cheeseman, Sarah H

    2016-04-01

    The advent of combination antiretroviral drug regimens has transformed HIV infection from a fatal illness into a manageable chronic condition. All patients with HIV infection should be considered for antiretroviral therapy, regardless of CD4 count or HIV viral load, for individual benefit and to prevent HIV transmission. Antiretroviral drugs affect HIV in several ways: entry inhibitors block HIV entry into CD4 T cells; nucleotide and nucleoside reverse transcriptase inhibitors prevent reverse transcription from RNA to DNA via chain-terminating proteins; nonnucleoside reverse transcriptase inhibitors prevent reverse transcription through enzymatic inhibition; integrase strand transfer inhibitors block integration of viral DNA into cellular DNA; protease inhibitors block maturation and production of the virus. Current guidelines recommend six combination regimens for initial therapy. Five are based on tenofovir and emtricitabine; the other uses abacavir and lamivudine. Five include integrase strand transfer inhibitors. HIV specialists should assist with treating patients with complicated HIV infection, including patients with treatment-resistant HIV infection, coinfection with hepatitis B or C virus, pregnancy, childhood infections, severe opportunistic infections, complex drug interactions, significant drug toxicity, or comorbidities. Family physicians can treat most patients with HIV infection effectively by choosing appropriate treatment regimens, monitoring patients closely, and retaining patients in care. PMID:27092564

  6. Standardised nomenclature for glucocorticoid dosages and glucocorticoid treatment regimens : current questions and tentative answers in rheumatology

    NARCIS (Netherlands)

    Buttgereit, F; da Silva, JAP; Burmester, GR; Cutolo, M; Jacobs, J; Kirwan, J; Kohler, L; van Riel, P; Vischer, T; Bijlsma, JWJ

    2002-01-01

    In rheumatology and other medical specialties there is a discrepancy between the widespread use and the imprecise designation of glucocorticoid treatment regimens. Verbal descriptions of glucocorticoid treatment regimens used in various phases of diseases vary between countries and institutions. Giv

  7. COMPARISON OF CONDITIONING REGIMENS FOR ALVEOLAR MACROPHAGE RECONSTITUTION AND INNATE IMMUNE FUNCTION POST BONE MARROW TRANSPLANT

    OpenAIRE

    Hubbard, Leah L. N.; Ballinger, Megan N.; Wilke, Carol A.; Moore, Bethany B.

    2008-01-01

    The authors compared efficiency of alveolar macrophage (AM) reconstitution from donor bone marrow post transplant following 4 chemotherapy conditioning regimens and 2 total body irradiation (TBI) regimens. TBI regimens are more effective in inducing AM reconstitution from donor marrow. However, mice conditioned with 13 Gy split-dose TBI or a dual-chemotherapy regimen (25 mg/kg busulfan × 4 days plus cyclophosphamide 100 mg/kg × 2 days) both demonstrate significant AM repopulation from donor m...

  8. The Development of a Myeloablative, Reduced-Toxicity, Conditioning Regimen for Cord Blood Transplantation

    OpenAIRE

    Mehta, Rohtesh S.; Di Stasi, Antonio; Andersson, Borje S.; Nieto, Yago; Jones, Roy; Lima, Marcos; Hosing, Chitra; Popat, Uday; Kebriaei, Partow; Oran, Betul; Alousi, Amin; Rezvani, Katayoun; Qazilbash, Muzaffar; Bashir, Qaiser; Bollard, Catherine

    2013-01-01

    Cord blood transplantation is being used with increasing frequency for patients with high-risk hematologic malignancies. Myeloablative preparative regimens provide anti-tumor efficacy and facilitate engraftment but are associated with higher morbidity and non-relapse mortality than nonablative regimens. We evaluated three sequential myeloablative regimens in the cord blood transplant setting. Regimen-1 melphalan, fludarabine and thiotepa produced prompt engraftment and minimal engraftment fai...

  9. The Grothendieck Construction and Gradings for Enriched Categories

    CERN Document Server

    Tamaki, Dai

    2009-01-01

    The Grothendieck construction is a process to form a single category from a diagram of small categories. In this paper, we extend the definition of the Grothendieck construction to diagrams of small categories enriched over a symmetric monoidal category satisfying certain conditions. Symmetric monoidal categories satisfying the conditions in this paper include the category of $k$-modules over a commutative ring $k$, the category of chain complexes, the category of simplicial sets, the category of topological spaces, and the category of modern spectra. In particular, we obtain a generalization of the orbit category construction in [math/0312214]. We also extend the notion of graded categories and show that the Grothendieck construction takes values in the category of graded categories. Our definition of graded category does not require any coproduct decompositions and generalizes $k$-linear graded categories indexed by small categories defined by Lowen. There are two popular ways to construct functors from the...

  10. 46 CFR 120.352 - Battery categories.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Battery categories. 120.352 Section 120.352 Shipping... and Distribution Systems § 120.352 Battery categories. This section applies to batteries installed to... sources of power to final emergency loads. (a) Large. A large battery installation is one connected to...

  11. 46 CFR 129.353 - Battery categories.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Battery categories. 129.353 Section 129.353 Shipping... INSTALLATIONS Power Sources and Distribution Systems § 129.353 Battery categories. This section applies to batteries installed to meet the requirements of § 129.310(a) for secondary sources of power to vital...

  12. 46 CFR 183.352 - Battery categories.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 7 2010-10-01 2010-10-01 false Battery categories. 183.352 Section 183.352 Shipping...) ELECTRICAL INSTALLATION Power Sources and Distribution Systems § 183.352 Battery categories. This section applies to batteries installed to meet the requirements of § 183.310 for secondary sources of power...

  13. Spans in 2-Categories: A monoidal tricategory

    CERN Document Server

    Hoffnung, Alexander E

    2011-01-01

    We present Trimble's definition of a tetracategory and prove that the spans in (strict) 2-categories with certain limits have the structure of a monoidal tricategory, defined as a one-object tetracategory. We recall some notions of limits in 2-categories for use in the construction of the monoidal tricategory of spans.

  14. Faculty Role Categories: A Dean's Management Challenge

    Science.gov (United States)

    Harvey, Michael G.; Sigerstad, Thomas; Kuffel, Thomas S.; Novicevic, Milorad M.; Keaton, Paul N.

    2006-01-01

    In this article, the authors' goal was to examine faculty roles from a role-theoretic perspective based on a typology of faculty categories. Based on an assessment of specific faculty needs within each category, the authors proposed a differentiated management model for academic deans to address specific segments of the faculty work environment.…

  15. Can height categories replace weight categories in striking martial arts competitions? A pilot study.

    Science.gov (United States)

    Dubnov-Raz, Gal; Mashiach-Arazi, Yael; Nouriel, Ariella; Raz, Raanan; Constantini, Naama W

    2015-09-29

    In most combat sports and martial arts, athletes compete within weight categories. Disordered eating behaviors and intentional pre-competition rapid weight loss are commonly seen in this population, attributed to weight categorization. We examined if height categories can be used as an alternative to weight categories for competition, in order to protect the health of athletes. Height and weight of 169 child and adolescent competitive karate athletes were measured. Participants were divided into eleven hypothetical weight categories of 5 kg increments, and eleven hypothetical height categories of 5 cm increments. We calculated the coefficient of variation of height and weight by each division method. We also calculated how many participants fit into corresponding categories of both height and weight, and how many would shift a category if divided by height. There was a high correlation between height and weight (r = 0.91, pweight categories was reduced by 83% when participants were divided by height. When allocating athletes by height categories, 74% of athletes would shift up or down one weight category at most, compared with the current categorization method. We conclude that dividing young karate athletes by height categories significantly reduced the range of heights of competitors within the category. Such categorization would not cause athletes to compete against much heavier opponents in most cases. Using height categories as a means to reduce eating disorders in combat sports should be further examined.

  16. Diagnostic Categories in Autobiographical Accounts of Illness.

    Science.gov (United States)

    Kelly, Michael P

    2015-01-01

    Working within frameworks drawn from the writings of Immanuel Kant, Alfred Schutz, and Kenneth Burke, this article examines the role that diagnostic categories play in autobiographical accounts of illness, with a special focus on chronic disease. Four lay diagnostic categories, each with different connections to formal medical diagnostic categories, serve as typifications to make sense of the way the lifeworld changes over the course of chronic illness. These diagnostic categories are used in conjunction with another set of typifications: lay epidemiologies, lay etiologies, lay prognostics, and lay therapeutics. Together these serve to construct and reconstruct the self at the center of the lifeworld. Embedded within the lay diagnostic categories are narratives of progression, regression, or stability, forms of typification derived from literary and storytelling genres. These narratives are developed by the self in autobiographical accounts of illness. PMID:26657684

  17. Diagnostic Categories in Autobiographical Accounts of Illness.

    Science.gov (United States)

    Kelly, Michael P

    2015-01-01

    Working within frameworks drawn from the writings of Immanuel Kant, Alfred Schutz, and Kenneth Burke, this article examines the role that diagnostic categories play in autobiographical accounts of illness, with a special focus on chronic disease. Four lay diagnostic categories, each with different connections to formal medical diagnostic categories, serve as typifications to make sense of the way the lifeworld changes over the course of chronic illness. These diagnostic categories are used in conjunction with another set of typifications: lay epidemiologies, lay etiologies, lay prognostics, and lay therapeutics. Together these serve to construct and reconstruct the self at the center of the lifeworld. Embedded within the lay diagnostic categories are narratives of progression, regression, or stability, forms of typification derived from literary and storytelling genres. These narratives are developed by the self in autobiographical accounts of illness.

  18. Whitney categories and the Tangle Hypothesis

    CERN Document Server

    Smyth, Conor

    2011-01-01

    We propose a new notion of `n-category with duals', which we call a Whitney n-category. There are two motivations. The first is that Baez and Dolan's Tangle Hypothesis is (almost) tautological when interpreted as a statement about Whitney categories. The second is that we can functorially construct `fundamental Whitney n-categories' from each smooth stratified space X. These are obtained by considering the homotopy theory of smooth maps into X which are transversal to all strata. This makes concrete another idea of Baez and Dolan's which is that a suitable version of homotopy theory for stratified spaces should allow one to generalise the relationship between spaces and groupoids to one between stratified spaces and categories with duals.

  19. Contribution of the Nitroimidazoles PA-824 and TBA-354 to the Activity of Novel Regimens in Murine Models of Tuberculosis

    OpenAIRE

    Tasneen, Rokeya; Williams, Kathy; Amoabeng, Opokua; Minkowski, Austin; Mdluli, Khisimuzi E.; Upton, Anna M.; Eric L Nuermberger

    2014-01-01

    New regimens based on two or more novel agents are sought in order to shorten or simplify the treatment of both drug-susceptible and drug-resistant forms of tuberculosis. PA-824 is a nitroimidazo-oxazine now in phase II trials and has shown significant early bactericidal activity alone and in combination with the newly approved agent bedaquiline or with pyrazinamide with or without moxifloxacin. While the development of PA-824 continues, a potential next-generation derivative, TBA-354, has be...

  20. Comparison of two once-daily regimens with a regimen consisting of nelfinavir, didanosine, and stavudine in antiretroviral therapy-naive adults : 48-week results from the antiretroviral regimen evaluation study (ARES)

    NARCIS (Netherlands)

    Lowe, SH; Wensing, AMJ; Hassink, EAM; ten Kate, RW; Richter, C; Schreij, G; Koopmans, PP; Juttmann, J.; van der Tweel, I.; Lange, JMA; Borleffs, JCC

    2005-01-01

    Background: To improve the dosing frequency and pill burden of antiretroviral therapy, we compared two once-daily dosed regimens to a twice-daily dosed regimen. Method: HIV-1-infected, antiretroviral drug-naive adults were randomized to either twice-daily nelfinavir and stavudine and once-daily dida

  1. Comparison of two once-daily regimens with a regimen consisting of nelfinavir, didanosine, and stavudine in antiretroviral therapy-naive adults: 48-week results from the Antiretroviral Regimen Evaluation Study (ARES).

    NARCIS (Netherlands)

    Lowe, S.H.; Wensing, B.M.; Hassink, E.A.M.; Kate, R.W. ten; Richter, C.; Schreij, G.; Koopmans, P.P.; Juttmann, J.R.; Tweel, I. van de; Lange, J.M.A.; Borleffs, J.C.

    2005-01-01

    BACKGROUND: To improve the dosing frequency and pill burden of antiretroviral therapy, we compared two once-daily dosed regimens to a twice-daily dosed regimen. METHOD: HIV-1-infected, antiretroviral drug-naive adults were randomized to either twice-daily nelfinavir and stavudine and once-daily dida

  2. Can height categories replace weight categories in striking martial arts competitions? A pilot study

    Directory of Open Access Journals (Sweden)

    Dubnov-Raz Gal

    2015-09-01

    Full Text Available In most combat sports and martial arts, athletes compete within weight categories. Disordered eating behaviors and intentional pre-competition rapid weight loss are commonly seen in this population, attributed to weight categorization. We examined if height categories can be used as an alternative to weight categories for competition, in order to protect the health of athletes.

  3. Comparing operadic theories of $n$-categories

    CERN Document Server

    Cheng, Eugenia

    2008-01-01

    We give a framework for comparing on the one hand theories of n-categories that are weakly enriched operadically, and on the other hand n-categories given as algebras for a contractible globular operad. Examples of the former are the definition by Trimble and variants (Cheng-Gurski) and examples of the latter are the definition by Batanin and variants (Leinster). We will show how to take a theory of n-categories of the former kind and produce a globular operad whose algebras are the n-categories we started with. We first provide a generalisation of Trimble's original theory that allows for the use of other parametrising operads in a very general way, via the notion of categories weakly enriched in V where the weakness is parametrised by an operad P in the category V. We define weak n-categories by iterating the weak enrichment construction using a series of parametrising operads P_i. We then show how to construct from such a theory an n-dimensional globular operad for each $n \\geq 0$ whose algebras are precis...

  4. Current regimen of pulse therapy for pemphigus: Minor modifications, improved results

    Directory of Open Access Journals (Sweden)

    Pasricha J

    2008-01-01

    Full Text Available Background: If administered properly, dexamethasone cyclophosphamide pulse (DCP therapy has the potential to effect lifelong recovery from pemphigus. Aims: The objective of this paper is to highlight various parameters of DCP therapy and also, to report the effects of a few modifications in the regimen. Methods: An analysis of 123 patients treated with the DCP/DP regimen over a period of five years (1998 to 2002 is presented here. Seventeen patients who did not start/continue the treatment and three patients who died during the treatment have been excluded from the analysis. Twenty patients who had not yet started families were given only dexamethasone pulses (DPs while 103 patients received DCPs. Low dose (50 mg/day cyclophosphamide was used as in the standard regimen. The three modifications introduced into the regimen were: (1 an additional daily dose of oral betamethasone sufficient to control the disease activity during phase I, which was progressively tapered off completely as the patient recovered, (2 use of systemic antibiotics if the patient had skin lesions, and oral anti-candida drugs if the patient had oral ulcers until complete healing, and (3 insistence on thorough cleaning of the skin and scalp with a normal soap and shampoo, and proper maintenance of oral hygiene in spite of skin/mucosal lesions. The regimen consisted of DCP/DP repeated in exactly 28-day cycles, along with 50 mg cyclophosphamide per day, insistence on completing the treatment and avoiding irregular pulses in all patients. The number of DCPs/DPs during phase I varied in different patients depending upon the dose of betamethasone used and the rate of recovery, but phase II (nine DCPs/DPs in exactly 28-day cycles along with 50 mg cyclophosphamide per day and phase III (only 50 mg cyclophosphamide per day was fixed at nine months each. This was followed by posttreatment follow-up (phase IV. Results: At present, all the patients are in complete remission. The

  5. Paclitaxel based vs oxaliplatin based regimens for advanced gastric cancer

    Institute of Scientific and Technical Information of China (English)

    Xiao-Dong Li; Hua Shen; Jing-Ting Jiang; Han-Ze Zhang; Xiao Zheng; Yong-Qian Shu; Chang-Ping Wu

    2011-01-01

    AIM:To compare the efficacy and safety of paclitaxel combined with fluorouracil plus cisplatin (PCF),and oxaliplatin combined with fluorouracil plus leucovorin (FOLFOX-4) regimens for advanced gastric cancer (AGC). METHODS:Ninety-four patients with AGC were randomly assigned to receive paclitaxel (50 mg/m2 iv) on days 1,8 and 15,cisplatin (20 mg/m2 iv) and fluorouracil (750 mg/m2 iv) on days 1-5,or oxaliplatin (85 mg/m2 iv) and leucovorin (200 mg/m2 iv) on day 1,followed by bolus fluorouracil (400 mg/m2 iv) and fluorouracil (600 mg/m2 iv) on days 1 and 2.The primary end point was the 1-year survival time. RESULTS:The overall response rate (ORR) of the patients was 48.0% and 45.5% to PCF and FOLFOX-4, respectively.The disease control rate (DCR) of PCF and FOLFOX-4 was 82.0% and 81.8%,respectively. The median survival times (MSTs) of the patients were 10.8 and 9.9 mo,respectively,after treatment with PCF and FOLFOX-4.The 1-year survival rate of the patients was 36.0% and 34.1%,respectively,after treatment with PCF and FOLFOX-4.No significant difference was observed in ORR,DCR,MST or 1-year survival rate between the two groups.The most common adverse events were anemia,nausea and vomiting,and grade 3/4 alopecia in PCF treatment group,and anemia,grade 1/2 neurotoxic effect and grade 3/4 neutropenia in FOLFOX-4 treatment group.CONCLUSION:Patients with AGC have a similar response rate to PCF and FOLFOX-4 regimens with a similar survival rate.The PCF and FOLFOX-4 regimens are efficacious and tolerable as a promising therapy for AGC.

  6. Esquemas alternativos de hemodiálise Alternative hemodialysis regimens

    Directory of Open Access Journals (Sweden)

    Jorge Paulo Strogoff de Matos

    2010-03-01

    Full Text Available A taxa de mortalidade entre os pacientes em hemodiálise (HD é extremamente elevada. A expectativa de vida restante de um paciente ao iniciar HD é apenas cerca de um quarto daquela da população geral com a mesma idade. O esquema convencional de HD, com três sessões semanais de cerca de quatro horas, foi estabelecido de maneira empírica há cerca de quatro décadas e merece ser reavaliado criticamente. Desde a falha do Estudo HEMO em demonstrar benefícios clínicos com o aumento do Kt/V de ureia nos pacientes em esquema convencional de HD, tem havido um crescente interesse pelos esquemas alternativos de HD com o intuito de prover um tratamento associado com uma melhor sobrevida. Dentre os esquemas mais promissores, destacam-se a HD diária de curta duração e a HD noturna prolongada. As limitações econômicas que inibem a aplicação dos conhecimentos emergentes nesta área devem ser vencidas.The mortality rate among patients on hemodialysis (HD is extremely high. Remaining life expectancy for a patient initiating HD is only approximately one quarter of that of the general population at the same age bracket. The conventional HD regimen based on four-hour sessions three times a week was empirically established nearly four decades ago and needs to be revisited. Since the failure of the HEMO Study to demonstrate the clinical benefits of higher urea Kt/V for patients on conventional HD, an increasing interest for alternative HD regimens has emerged aiming at providing a treatment for improving survival rates. Short daily HD and long nocturnal HD stand out as the most promising alternative regimens. Economical obstacles which could hinder the clinical application of emerging knowledge in the field should be overcome.

  7. Shape configuration and category-specificity

    DEFF Research Database (Denmark)

    Gerlach, Christian; Law, Ian; Paulson, Olaf B.

    2006-01-01

    recent account of category-specificity and lends support to the notion that category-specific impairments can occur for both natural objects and artefacts following damage to pre-semantic stages in visual object recognition. The implications of the present findings are discussed in relation to theories......We examined the neural correlates of visual shape configuration, the binding of local shape characteristics into wholistic object descriptions, by comparing the regional cerebral blood flow associated with recognition of outline drawings and fragmented drawings. We found no areas that responded...... of perceptual organization, visual object recognition and category-specificity....

  8. Affinization of category O for quantum groups

    CERN Document Server

    Young, C A S

    2012-01-01

    Let g be a simple Lie algebra. We consider the category O-hat of those modules over the affine quantum group Uq(g-hat) whose Uq(g)-weights have finite multiplicity and lie in a finite union of cones generated by negative roots. We show that many properties of the category of the finite-dimensional representations naturally extend to the category O-hat. In particular, we develop the theory of q-characters and define the minimal affinizations of parabolic Verma modules. In types ABCFG we classify these minimal affinizations and conjecture a Weyl denominator type formula for their characters.

  9. Shape configuration and category-specificity

    DEFF Research Database (Denmark)

    Gerlach, Christian; Law, I; Paulson, Olaf B.

    2006-01-01

    in difficult object decision tasks, which is also found in the present experiments with outlines, is reversed when the stimuli are fragmented. This interaction between category (natural versus artefacts) and stimulus type (outlines versus fragmented forms) is in accordance with predictions derived from...... a recent account of category-specificity and lends support to the notion that category-specific impairments can occur for both natural objects and artefacts following damage to pre-semantic stages in visual object recognition. The implications of the present findings are discussed in relation to theories...

  10. A Higher-Order Calculus for Categories

    DEFF Research Database (Denmark)

    Cáccamo, Mario José; Winskel, Glynn

    2001-01-01

    in their free variables. There are special binders for limits and more general ends. The rules for limits and ends support an algebraic manipulation of universal constructions as opposed to a more traditional diagrammatic approach. Duality within the calculus and applications in proving continuity are discussed......A calculus for a fragment of category theory is presented. The types in the language denote categories and the expressions functors. The judgements of the calculus systematise categorical arguments such as: an expression is functorial in its free variables; two expressions are naturally isomorphic...... with examples. The calculus gives a basis for mechanising a theory of categories in a generic theorem prover like Isabelle....

  11. Fusion rules of equivariantizations of fusion categories

    OpenAIRE

    Burciu, Sebastian; Natale, Sonia

    2012-01-01

    We determine the fusion rules of the equivariantization of a fusion category $\\mathcal{C}$ under the action of a finite group $G$ in terms of the fusion rules of $\\mathcal{C}$ and group-theoretical data associated to the group action. As an application we obtain a formula for the fusion rules in an equivariantization of a pointed fusion category in terms of group-theoretical data. This entails a description of the fusion rules in any braided group-theoretical fusion category.

  12. Estimation of drug dosage regimens with a pharmacokinetic slide rule.

    Science.gov (United States)

    Straughn, A B; Cruze, C A; Meyer, M C

    1977-02-01

    A pharmacokinetic slide rule to facilitate the computations based on relatively simple pharmacokinetic principles involved in the development of individualized drug dosage regimens is described. The calculations are based on the assumption that the body can be conceived as a one-compartment open model with drug elimination proceeding by apparent first-order kinetics. Examples are presented (1) to illustrate the clinical application of a slide rule to compute the time-course of drug in the body, (2) to calculate steady-state maximum and minimum levels, and accumulation during multiple dosage and (3) to estimate appropriate maintenance doses and intravenous infusion rates. PMID:842548

  13. Establishment of TCM Standardized Therapeutic Regimen for Treating Tumor

    Institute of Scientific and Technical Information of China (English)

    林洪生

    2004-01-01

    @@ It has been of a long long history to treat tumor with traditional Chinese medicine (TCM), in the last 50years, Chinese medicine (CM) has been accepted by more and more medical professionals and patients, and used as one of the principal methods for treating tumor in China. But, tumor is a kind of disease with rapid progress and complicated causes, and applying CM in treating tumor has to meet some requirement, as improper application could induce contrary effects. To reduce the chance of blind and improper application of CM in the treatment of tumor, it is vital to work out a standardized therapeutic regimen that can be used as the guideline.

  14. Galeazzi fractures: our modified classification and treatment regimen.

    Science.gov (United States)

    Fayaz, H C; Jupiter, J B

    2014-02-01

    While diaphyseal fractures of the forearm are a common orthopedic injury, Galeazzi fractures are difficult to treat. The current knowledge on pathobiomechanics and modified therapeutic decisions implicate the need to devise an updated classification and treatment regimen of Galeazzi fractures. We challenge the concept that isolated fractures of the radius should be considered as a Galeazzi fractures as long as stability of the distal radioulnar joint is not proven. Contrary to others we demonstrate that the fracture location alone is not sufficient to determine the stability of the distal radioulnar joint.

  15. Comparing two K-category assignments by a K-category correlation coefficient

    DEFF Research Database (Denmark)

    Gorodkin, Jan

    2004-01-01

    Predicted assignments of biological sequences are often evaluated by Matthews correlation coefficient. However, Matthews correlation coefficient applies only to cases where the assignments belong to two categories, and cases with more than two categories are often artificially forced into two...... categories by considering what belongs and what does not belong to one of the categories, leading to the loss of information. Here, an extended correlation coefficient that applies to K-categories is proposed, and this measure is shown to be highly applicable for evaluating prediction of RNA secondary...

  16. Can height categories replace weight categories in striking martial arts competitions? A pilot study.

    Science.gov (United States)

    Dubnov-Raz, Gal; Mashiach-Arazi, Yael; Nouriel, Ariella; Raz, Raanan; Constantini, Naama W

    2015-09-29

    In most combat sports and martial arts, athletes compete within weight categories. Disordered eating behaviors and intentional pre-competition rapid weight loss are commonly seen in this population, attributed to weight categorization. We examined if height categories can be used as an alternative to weight categories for competition, in order to protect the health of athletes. Height and weight of 169 child and adolescent competitive karate athletes were measured. Participants were divided into eleven hypothetical weight categories of 5 kg increments, and eleven hypothetical height categories of 5 cm increments. We calculated the coefficient of variation of height and weight by each division method. We also calculated how many participants fit into corresponding categories of both height and weight, and how many would shift a category if divided by height. There was a high correlation between height and weight (r = 0.91, peating disorders in combat sports should be further examined. PMID:26557193

  17. On Gauging Symmetry of Modular Categories

    Science.gov (United States)

    Cui, Shawn X.; Galindo, César; Plavnik, Julia Yael; Wang, Zhenghan

    2016-05-01

    Topological order of a topological phase of matter in two spacial dimensions is encoded by a unitary modular (tensor) category (UMC). A group symmetry of the topological phase induces a group symmetry of its corresponding UMC. Gauging is a well-known theoretical tool to promote a global symmetry to a local gauge symmetry. We give a mathematical formulation of gauging in terms of higher category formalism. Roughly, given a UMC with a symmetry group G, gauging is a 2-step process: first extend the UMC to a G-crossed braided fusion category and then take the equivariantization of the resulting category. Gauging can tell whether or not two enriched topological phases of matter are different, and also provides a way to construct new UMCs out of old ones. We derive a formula for the {H^4} -obstruction, prove some properties of gauging, and carry out gauging for two concrete examples.

  18. NASA Scope and Subject Category Guide

    Science.gov (United States)

    2011-01-01

    This guide provides a simple, effective tool to assist aerospace information analysts and database builders in the high-level subject classification of technical materials. Each of the 76 subject categories comprising the classification scheme is presented with a description of category scope, a listing of subtopics, cross references, and an indication of particular areas of NASA interest. The guide also includes an index of nearly 3,000 specific research topics cross referenced to the subject categories. The portable document format (PDF) version of the guide contains links in the index from each input subject to its corresponding categories. In addition to subject classification, the guide can serve as an aid to searching databases that use the classification scheme, and is also an excellent selection guide for those involved in the acquisition of aerospace literature. The CD-ROM contains both HTML and PDF versions.

  19. Topoi the categorial analysis of logic

    CERN Document Server

    Goldblatt, Robert

    2013-01-01

    A classic exposition of a branch of mathematical logic that uses category theory, this text is suitable for advanced undergraduates and graduate students and accessible to both philosophically and mathematically oriented readers.

  20. Category-specificity in visual object recognition

    DEFF Research Database (Denmark)

    Gerlach, Christian

    2009-01-01

    Are all categories of objects recognized in the same manner visually? Evidence from neuropsychology suggests they are not: some brain damaged patients are more impaired in recognizing natural objects than artefacts whereas others show the opposite impairment. Category-effects have also been...... demonstrated in neurologically intact subjects, but the findings are contradictory and there is no agreement as to why category-effects arise. This article presents a Pre-semantic Account of Category Effects (PACE) in visual object recognition. PACE assumes two processing stages: shape configuration (the...... binding of shape elements into elaborate shape descriptions) and selection (among competing representations in visual long-term memory), which are held to be differentially affected by the structural similarity between objects. Drawing on evidence from clinical studies, experimental studies...

  1. Rapid object category adaptation during unlabelled classification.

    Science.gov (United States)

    Hadas, David; Intrator, Nathan; Yovel, Galit

    2010-01-01

    Recent reports from electrophysiological and psychophysical experiments provide evidence that repeated exposure to an ordered sequence of morphed stimuli may over time adapt a prelearned object category such that the category may generalise the entire sequence as belonging to the same object. Here, a new protocol that includes a single exposure to a morphing sequence is presented. Subjects exposed to the new protocol replaced a prelearned face with an entirely different face within just 3 days, significantly faster than in previous reports.

  2. Analysis of N Category Privacy Models

    Directory of Open Access Journals (Sweden)

    Marn-Ling Shing

    2012-10-01

    Full Text Available File sharing becomes popular in social networking and the disclosure of private information without user’s consent can be found easily. Password management becomes increasingly necessary for maintaining privacy policy. Monitoring of violations of a privacy policy is needed to support the confidentiality of information security. This paper extends the analysis of two category confidentiality model to N categories, and illustrates how to use it to monitor the security state transitions in the information security privacy modeling.

  3. Neural responses to category ambiguous words

    OpenAIRE

    Conwell, Erin

    2015-01-01

    Category ambiguous words (like hug and swing) have the potential to complicate both learning and processing of language. However, uses of such words may be disambiguated by acoustic differences that depend on the category of use. This article uses an event-related potential (ERP) technique to ask whether adult native speakers of English show neural sensitivity to those differences. The results indicate that noun and verb tokens of ambiguous words produce differences in the amplitude of the ER...

  4. Recent advances in tuberculosis: New drugs and treatment regimens.

    Science.gov (United States)

    Sloan, Derek J; Davies, Geraint R; Khoo, Saye H

    2013-06-01

    The current treatment regimen against drug susceptible tuberculosis (DS-TB) was defined by the 1980s. Since then the emergence of the global HIV pandemic and the escalation of drug resistant (DR-) forms of TB have presented new challenges for therapeutic research. Priority goals include shortening DS-TB treatment, improving DR-TB treatment and making combined TB-HIV therapy easier. To help achieve these goals, a range of new drugs and treatment strategies are currently being evaluated. Phase IIb and III clinical trials are ongoing to assess combinations involving the high-dose rifamycins, the 8-methoxyquinolones, a diarylquinoline (bedaquiline) and the nitroimidazoles. Other compounds (e.g. novel oxazolidinones and ethylenediamines) are at earlier stages of clinical development. Overall, there are grounds for optimism that recent advances will contribute towards achievement of new treatment regimens in the foreseeable future. However, long-term investment, political commitment and scientific endeavour are crucial to ensure that progress is sustained and the benefits of recent advances reach those in the greatest need.

  5. New anti-tuberculosis drugs and regimens: 2015 update

    Directory of Open Access Journals (Sweden)

    Lia D'Ambrosio

    2015-05-01

    Full Text Available Over 480 000 cases of multidrug-resistant (MDR tuberculosis (TB occur every year globally, 9% of them being affected by extensively drug-resistant (XDR strains of Mycobacterium tuberculosis. The treatment of MDR/XDR-TB is unfortunately long, toxic and expensive, and the success rate largely unsatisfactory (<20% among cases with resistance patterns beyond XDR. The aim of this review is to summarise the available evidence-based updated international recommendations to manage MDR/XDR-TB, and to update the reader on the role of newly developed drugs (delamanid, bedaquiline and pretomanid as well as repurposed drugs (linezolid and meropenem clavulanate, among others used to treat these conditions within new regimens. A nonsystematic review based on historical trials results as well as on recent literature and World Health Organization (WHO guidelines has been performed, with special focus on the approach to managing MDR/XDR-TB. The new, innovative global public health interventions, recently approved by WHO and known as the “End TB Strategy”, support the vision of a TB-free world with zero death, disease and suffering due to TB. Adequate, universally accessed treatment is a pre-requisite to reach TB elimination. New shorter, cheap, safe and effective anti-TB regimens are necessary to boost TB elimination.

  6. Regimen of ovarian stimulation affects oocyte and therefore embryo quality.

    Science.gov (United States)

    Bosch, Ernesto; Labarta, Elena; Kolibianakis, Efstratios; Rosen, Mitchell; Meldrum, David

    2016-03-01

    Without any doubt the regimen used to mature multiple capable oocytes for IVF impacts IVF outcomes. Studies have indicated that the inclusion of LH activity, adjuvant agents such as growth hormone (GH), and regimens providing for simultaneous action of both LH and FSH during final oocyte maturation may have beneficial effects on IVF outcomes. Because of the difficulty in improving IVF outcomes in poor responders, the studies on GH are of particular interest. As pointed out in this review, the apparent beneficial effects of GH on oocyte competence may also apply to older women or to normal responders with reduced embryo quality. A much more difficult question is whether and how much ovarian stimulation impacts on oocyte competence. Paradoxically it seems that there are not demonstrated differences between the stimulated and the natural unstimulated cycle, whereas studies in laboratory animals and IVF patients have shown deleterious effects of higher compared with lower doses of gonadotropins. Recent studies suggest that the use of high doses of gonadotropins as an independent factor correlates negatively with the probability of live birth, whereas a high ovarian response per se is associated with better cumulative pregnancy rates, owing to the availability of more euploid and good-quality embryos. Although adjunctive use of androgens has not been discussed here, it is briefly covered in the first review of this series. PMID:26826273

  7. Adherence With Therapeutic Regimens: Behavioral and Pharmacoeconomic Perspectives.

    Science.gov (United States)

    Giannetti, Vincent J; Kamal, Khalid M

    2016-04-01

    There is an extensive literature regarding nonadherence with both therapeutic regimens and medication. This literature includes reviews of empirical research regarding the factors associated with nonadherence. Health care system, provider, and patient factors as well as the nature of the illness and therapeutic regimen all effect adherence rates. Different behavioral models for adherence counseling such as the Health Belief Model, the Theory of Reasoned Action, the Medication Interest Model, and Motivational Interviewing have also been reported in the research literature. This article will discuss the development of a brief model for patient counseling with specific techniques illustrated for pharmacists based on empirical findings that have demonstrated effectiveness in the adherence research literature. In addition, the article will address the measurement of the economic impact of medication nonadherence and propose a framework for assessing the cost-effectiveness of pharmacist counseling to increase adherence. The problem of nonadherence has significant effects upon health care expenditures through increase in physician's visits, emergency department incidents, rehospitalizations, and nursing home readmissions. Thus, the overall goal is to assist the pharmacist in developing a brief adherence counseling program in community pharmacy and evaluating the economic feasibility of the intervention demonstrating the value-added proposition of pharmacist intervention. PMID:25292442

  8. Postcesarean Thromboprophylaxis with Two Different Regimens of Bemiparin

    Directory of Open Access Journals (Sweden)

    Milagros Cruz

    2011-01-01

    Full Text Available Objectives. To compare the effectiveness of postcesarean thromboprophylaxis with two different regimens of bemiparin. Material and Methods. The study included 646 women with cesarean delivery in our hospital within a 1-year period, randomly assigned to one of two groups for prophylaxis with 3500 IU bemiparin once daily for 5 days or 3500 IU bemiparin once daily for 10 days. Results. There was one case of pulmonary embolism (first day following cesarean. An additional risk factor was present in 98.52% of the women, most frequently emergency cesarean, anemia, or obesity. The only risk factors for thromboembolic disease significantly related to pulmonary thromboembolism were placental abruption and prematurity. There were no differences in thromboembolic events among the two thromboprophylaxis regimens. Conclusions. Cesarean-related thromboembolic events were reduced in our study population due to the thromboprophylactic measures taken. Thromboprophylaxis with 3500 IU bemiparin once daily for 5 days following cesarean was sufficient to avoid thromboembolic events.

  9. On the flexibility of phonetic categories

    Science.gov (United States)

    Francis, Alexander L.; Nusbaum, Howard C.

    2002-05-01

    Research on phonetic category acquisition suggests that over the course of development children shift the relative weight given to various acoustic cues to particular phonetic categories [S. Nittrouer, J. Phon. 20, 1-32 (1992)]. Adults also show flexibility in acquiring second language categories and learning to recognize synthetic speech. In both cases listeners must shift attention among some acoustic cues and change the weighting and mapping of others. Recent research demonstrated that category-level feedback can induce adult listeners to shift attention between conflicting cues to native stop-consonant categories. Subsequent research showed that adult listeners also reorganize the distribution of their attention to acoustic cues in learning to better understand synthetic speech. Moreover, research on learning foreign phonetic contrasts suggests that listeners can learn to direct attention to unfamiliar acoustic cues. These results suggest that phonetic categories are flexible in terms of the nature and quality of the acoustic cues that define them. We argue that this flexibility is a consequence of the basic nature of the general mechanism that mediates speech perception: In order to resolve the problem of context-conditioned variability, listeners must dynamically modify attention to the acoustic signal in a context-dependent manner.

  10. Comparing Different Antiemetic Regimens for Chemotherapy Induced Nausea and Vomiting

    Directory of Open Access Journals (Sweden)

    Sayantani Ghosh

    2010-05-01

    Full Text Available Background: Chemotherapy Induced Nausea and Vomiting (CINV is a major problem for all cancer patients. 5-hydroxytryptamine 3 (5-HT3-receptor antagonists or serotonin antagonists used along with dexamethasone is the most widely used antiemetic regimen in chemotherapy. But the best drug of the different serotonin antagonists, which is both efficacious and economic, remains a matter of debate. Aims & Objectives: To compare the relative efficacies and safeties of ondansetron, granisetron and palonosetron, when used along with equal dose of dexamethasone, in moderately to highly emetogenic chemotherapy by a double blind, randomized controlled trial in order to obtain the most potent and cost effective drug. Methods: 1213 adult patients, 487 on highly and 726 on moderately emetogenic chemotherapy, admitted in various departments of a teaching hospital in India from November 05, 2007 to September 30, 2009 were included in the study. Patients were randomly assigned to receive ondansetron 8 mg or granisetron 3mg or palonosetron 0.75 mg (single dose, 30 min before receiving chemotherapy, along with 16 mg of intravenous dexamethasone on Day 1 and 4mg on Day 2 and 3. The observation period started with the initiation of chemotherapy (0 h and continued for 24 h after completion of the chemotherapy for acute emesis and up to Day 5 for delayed nausea and vomiting. Results: For highly emetogenic regimens, 52 of 64 patients (81.2% had complete response during the acute phase in palonosetron group compared with 181 of 237 patients (76.4% in the ondansetron group and 130 of 186 patients (69.9% in granisetron group. During the delayed phase, 41 patients (64% had complete response in the palonosetron group compared with 133 patients (56.1% in the ondansetron group and 114 patients (61.2% in granisetron group. For moderately emetogenic regimens, 86 of 93 patients (92.5% had complete response during the acute phase in palonosetron group compared with 291 of 379

  11. Effects of intravenous fluid restriction on postoperative complications: comparison of two perioperative fluid regimens: a randomized assessor-blinded multicenter trial

    DEFF Research Database (Denmark)

    Brandstrup, Birgitte; Tønnesen, Hanne; Beier-Holgersen, Randi;

    2003-01-01

    To investigate the effect of a restricted intravenous fluid regimen versus a standard regimen on complications after colorectal resection.......To investigate the effect of a restricted intravenous fluid regimen versus a standard regimen on complications after colorectal resection....

  12. Efficacy of different therapeutic regimens for acute foot rot in adult sheep

    Directory of Open Access Journals (Sweden)

    Mohammad Moin Ansari

    2014-09-01

    Full Text Available In this study, efficacies of different therapeutic regimens along with 10% zinc-sulfate footbath for the treatment of acute foot rot in adult sheep were evaluated. The research work conducted on the adult sheep (n=104 of both sexes which were presented to the Teaching Veterinary Clinical Complex during April 2013 to May 2014. Foot rot was confirmed based on clinical and physical examinations. The sheep were divided into four equal groups; G-I, G-II, G-III, and G-IV. The animals of the G-I, II and IV were treated with a mixture of amoxicillin and cloxacillin at 15 mg/kg body weight (b.wt. through intramuscular (IM route, oxytetracycline at 20 mg/kg b.wt., IM, and enrofloxacin at 5 mg/kg b.wt., IM, respectively. The animals of G-III were treated with gamma benzene hexachloride cream. Along with the above treatments, all four groups were given footbath with 10% zinc-sulfate. Mean recovery time (days was recorded as lowest in G-II (3.83±0.64 followed by G-I (4.17±0.31, G-IV (4.38±0.0.79 and G-III (5.67±0.98, respectively. The mean±SE values of rectal temperature and ruminal motility that were recorded before and after the treatment showed significant (p<0.05 differences. In conclusion, administration of parenteral antibiotics in combination with footbath was highly effective to treat combination with footbath was highly effective to treat the acute foot rot in sheep.

  13. Can height categories replace weight categories in striking martial arts competitions? A pilot study

    OpenAIRE

    Dubnov-Raz Gal; Mashiach-Arazi Yael; Nouriel Ariella; Raz Raanan; Constantini Naama W.

    2015-01-01

    In most combat sports and martial arts, athletes compete within weight categories. Disordered eating behaviors and intentional pre-competition rapid weight loss are commonly seen in this population, attributed to weight categorization. We examined if height categories can be used as an alternative to weight categories for competition, in order to protect the health of athletes. Height and weight of 169 child and adolescent competitive karate athletes were measured. Participants were divided i...

  14. Levothyroxine treatment in pregnancy: indications, efficacy, and therapeutic regimen.

    Science.gov (United States)

    Klubo-Gwiezdzinska, Joanna; Burman, Kenneth D; Van Nostrand, Douglas; Wartofsky, Leonard

    2011-01-01

    The prevalence of overt and subclinical hypothyroidism during pregnancy is estimated to be 0.3-0.5% and 2-3%, respectively. Thyroid autoantibodies are found in 5-18% of women in the childbearing age. The aim of this review is to underscore the clinical significance of these findings on the health of both the mother and her offspring. Methods of evaluation of thyroid function tests (TFTs) during pregnancy are described as are the threshold values for the diagnosis of overt and subclinical hypothyroidism or hypothyroxinemia. Anticipated differences in TFTs in iodine-sufficient and iodine-deficient areas are discussed and data are provided on potential complications of hypothyroidism/hypothyroxinemia and autoimmune thyroid disease during pregnancy and adverse effects for the offspring. The beneficial effects of levothyroxine therapy on pregnancy outcomes and offspring development are discussed with a proposed treatment regimen and follow up strategy.

  15. Levothyroxine Treatment in Pregnancy: Indications, Efficacy, and Therapeutic Regimen

    Directory of Open Access Journals (Sweden)

    Joanna Klubo-Gwiezdzinska

    2011-01-01

    Full Text Available The prevalence of overt and subclinical hypothyroidism during pregnancy is estimated to be 0.3–0.5% and 2–3%, respectively. Thyroid autoantibodies are found in 5–18% of women in the childbearing age. The aim of this review is to underscore the clinical significance of these findings on the health of both the mother and her offspring. Methods of evaluation of thyroid function tests (TFTs during pregnancy are described as are the threshold values for the diagnosis of overt and subclinical hypothyroidism or hypothyroxinemia. Anticipated differences in TFTs in iodine-sufficient and iodine-deficient areas are discussed and data are provided on potential complications of hypothyroidism/hypothyroxinemia and autoimmune thyroid disease during pregnancy and adverse effects for the offspring. The beneficial effects of levothyroxine therapy on pregnancy outcomes and offspring development are discussed with a proposed treatment regimen and follow up strategy.

  16. Eradication of Helicobacter pylori: are rifaximin-based regimens effective?

    Science.gov (United States)

    Gasbarrini, Antonio; Gasbarrini, Giovanni; Pelosini, Iva; Scarpignato, Carmelo

    2006-01-01

    Rifaximin is a non-absorbed semisynthetic rifamycin derivative with a broad spectrum of antibacterial activity including Gram-positive and Gram-negative bacteria, both aerobes and anaerobes. Although originally developed for the treatment of infectious diarrhea, the appreciation of the pathogenic role of gut bacteria in several organic and functional gastrointestinal diseases has increasingly broadened its clinical use. Being the antibiotic active against Helicobacter pylori, even towards clarithromycin-resistant strain, and being the primary resistance very rare, several investigations explored its potential use for eradication of the microorganism. Rifaximin alone proved to be effective, but even the highest dose (1,200 mg daily) gave a cure rate of only 30%. Dual and triple therapies were also studied, with the better results obtained with rifaximin-clarithromycin and rifaximin-clarithromycin-esomeprazole combinations. However, the eradication rates (60-70%) obtained with these regimens were still below the standard set by the Maastricht Consensus guidelines. Although rifaximin-based eradication therapies are promising, new antimicrobial combinations (with and without proton pump inhibitors) need to be explored in well-designed clinical trials including a large cohort of H. pylori-infected patients. The remarkable safety of rifaximin will allow high-dose regimens of longer duration (e.g. 10 or 14 days) to be tested with confidence in the hope of achieving better eradication rates. A drawback of rifaximin could be its inability to reach sufficiently high concentrations in the gastric mucus layer under and within which H. pylori is commonly located and this would likely affect eradication rate. Taking these considerations into account, bioadhesive rifaximin formulations able to better and persistently cover gastric mucosa, or combination with mucolytic agents, such as pronase or acetylcysteine, need to be evaluated in order to better define the place of this

  17. Categories of difference in science and policy

    DEFF Research Database (Denmark)

    Jørgensen, Martin Bak

    2012-01-01

    Categories of difference have a crucial position in academic research as well as policymaking. They serve to distinguish and differentiate between groups in society. They can appear in the shape of crude dichotomies or in complex and sophisticated forms resting on constructivist and intersectiona......Categories of difference have a crucial position in academic research as well as policymaking. They serve to distinguish and differentiate between groups in society. They can appear in the shape of crude dichotomies or in complex and sophisticated forms resting on constructivist....... The article will mainly consist of a theoretical discussion, but will use two main empirical examples of race and religion. The article aims to provide tentative answers about what the consequences of particular uses of categories and concepts could be....

  18. Multimedia category preferences of working engineers

    Science.gov (United States)

    Baukal, Charles E.; Ausburn, Lynna J.

    2016-09-01

    Many have argued for the importance of continuing engineering education (CEE), but relatively few recommendations were found in the literature for how to use multimedia technologies to deliver it most effectively. The study reported here addressed this gap by investigating the multimedia category preferences of working engineers. Four categories of multimedia, with two types in each category, were studied: verbal (text and narration), static graphics (drawing and photograph), dynamic non-interactive graphics (animation and video), and dynamic interactive graphics (simulated virtual reality (VR) and photo-real VR). The results showed that working engineers strongly preferred text over narration and somewhat preferred drawing over photograph, animation over video, and simulated VR over photo-real VR. These results suggest that a variety of multimedia types should be used in the instructional design of CEE content.

  19. Symmetric centres of braided monoidal categories

    Institute of Scientific and Technical Information of China (English)

    2000-01-01

    This paper introduces the concept of‘symmetric centres' of braided monoidal categories. Let H be a Hopf algebra with bijective antipode over a field k. We address the symmetric centre of the Yetter-Drinfel'd module category HH(yD) and show that a left Yetter-Drinfel'd module M belongs to the symmetric centre of HH(yD) if and only if M is trivial. We also study the symmetric centres of categories of representations of quasitriangular Hopf algebras and give a sufficient and necessary condition for the braid of H(M) to induce the braid of (H(H)(A),(○)A,A,φ,l,r), or equivalently, the braid of (A#H(H),(○)A,A,φ,l,r), where A is a quantum commutative H-module algebra.

  20. Grammatical category dissociation in multilingual aphasia.

    Science.gov (United States)

    Faroqi-Shah, Yasmeen; Waked, Arifi N

    2010-03-01

    Word retrieval deficits for specific grammatical categories, such as verbs versus nouns, occur as a consequence of brain damage. Such deficits are informative about the nature of lexical organization in the human brain. This study examined retrieval of grammatical categories across three languages in a trilingual person with aphasia who spoke Arabic, French, and English. In order to delineate the nature of word production difficulty, comprehension was tested, and a variety of concomitant lexical-semantic variables were analysed. The patient demonstrated a consistent noun-verb dissociation in picture naming and narrative speech, with severely impaired production of verbs across all three languages. The cross-linguistically similar noun-verb dissociation, coupled with little evidence of semantic impairment, suggests that (a) the patient has a true "nonsemantic" grammatical category specific deficit, and (b) lexical organization in multilingual speakers shares grammatical class information between languages. The findings of this study contribute to our understanding of the architecture of lexical organization in bilinguals.

  1. Structural similarity and category-specificity

    DEFF Research Database (Denmark)

    Gerlach, Christian; Law, Ian; Paulson, Olaf B

    2004-01-01

    It has been suggested that category-specific recognition disorders for natural objects may reflect that natural objects are more structurally (visually) similar than artefacts and therefore more difficult to recognize following brain damage. On this account one might expect a positive relationship...... between blood flow and structural similarity in areas involved in visual object recognition. Contrary to this expectation we report a negative relationship in that identification of articles of clothing cause more extensive activation than identification of vegetables/fruit and animals even though items...... from the categories of animals and vegetables/fruit are rated as more structurally similar than items from the category of articles of clothing. Given that this pattern cannot be explained in terms of a tradeoff between activation and accuracy, we interpret these findings within a model where...

  2. Shape configuration and category-specificity

    DEFF Research Database (Denmark)

    Gerlach, Christian; Law, Ian; Paulson, Olaf B

    2006-01-01

    a recent account of category-specificity and lends support to the notion that category-specific impairments can occur for both natural objects and artefacts following damage to pre-semantic stages in visual object recognition. The implications of the present findings are discussed in relation to theories......We examined the neural correlates of visual shape configuration, the binding of local shape characteristics into wholistic object descriptions, by comparing the regional cerebral blood flow associated with recognition of outline drawings and fragmented drawings. We found no areas that responded...... in difficult object decision tasks, which is also found in the present experiments with outlines, is reversed when the stimuli are fragmented. This interaction between category (natural versus artefacts) and stimulus type (outlines versus fragmented forms) is in accordance with predictions derived from...

  3. 12 CFR 615.5211 - Risk categories-balance sheet assets.

    Science.gov (United States)

    2010-01-01

    ... AFFAIRS, LOAN POLICIES AND OPERATIONS, AND FUNDING OPERATIONS Capital Adequacy § 615.5211 Risk categories... not eligible for the ratings-based approach or subject to the dollar-for-dollar capital treatment. (2... similar capital, risk identification and control, and operational standards, or (ii) Carry an...

  4. Effectiveness of Antiretroviral Therapy in Individuals Who for Economic Reasons Were Switched From a Once-Daily Single-Tablet Regimen to a Triple-Tablet Regimen

    DEFF Research Database (Denmark)

    Engsig, Frederik N; Gerstoft, Jan; Helleberg, Marie;

    2014-01-01

    BACKGROUND: To assess the impact on virological outcomes of a switch from branded single-tablet regimen (STR) including tenofovir, efavirenz, and emtricitabine (STR-TEE) to generic triple-tablet regimen (TTR), including tenofovir, efavirenz, and lamivudine (TTR-TEL), which was implemented on April....../I resistance mutation was detected in 1 cART-experienced patient on TTR-TEL with virological failure. The risk of switch to a new cART regimen was slightly increased in the cART-experienced population (difference in 1-year risk: 1.5%; 95% confidence interval: -2.4% to 5.4%). CONCLUSIONS: In settings comparable...

  5. Chemotherapy and survival in advanced breast cancer: the inclusion of doxorubicin in Cooper type regimens.

    OpenAIRE

    A'Hern, R P; Smith, I. E.; Ebbs, S R

    1993-01-01

    The value of the inclusion of doxorubicin hydrochloride (dox) in Cooper type regimens in advanced breast cancer was assessed by performing an overview employing summary statistics derived from published papers of randomised clinical trials comparing Cooper type regimens that contain dox with regimens in which dox was replaced by one or more compounds. Trials were selected which published data on survival, time to treatment failure and response rate. This study suggests that dox confers advant...

  6. Medication Regimen Complexity and Polypharmacy as Factors Associated With All-Cause Mortality in Older People

    OpenAIRE

    Wimmer, Barbara C.; Bell, J Simon; Fastbom, Johan; Wiese, Michael D; Johnell, Kristina

    2016-01-01

    Objectives: To investigate whether medication regimen complexity and/or polypharmacy are associated with all-cause mortality in older people. Methods: This was a population-based cohort study among community-dwelling and institutionalized people ≥60 years old (n = 3348). Medication regimen complexity was assessed using the 65-item Medication Regimen Complexity Index (MRCI) in 10-unit steps. Polypharmacy was assessed as a continuous variable (number of medications). Mortality data were obtaine...

  7. Congenital syphilis after treatment of maternal syphilis with a penicillin regimen exceeding CDC guidelines.

    OpenAIRE

    Conover, C S; Rend, C A; Miller, G B; Schmid, G P

    1998-01-01

    BACKGROUND: Although congenital syphilis usually occurs as a result of a failure to detect and treat syphilis in pregnant women, failures of the currently recommended regimen to prevent congenital syphilis have been reported. CASE: This report describes an infant with congenital syphilis despite maternal treatment with a regimen exceeding current CDC guidelines. CONCLUSION: Regardless of the regimen used to treat syphilis during pregnancy, clinicians should recognize the possibility of occasi...

  8. Protein secondary structure: category assignment and predictability

    DEFF Research Database (Denmark)

    Andersen, Claus A.; Bohr, Henrik; Brunak, Søren

    2001-01-01

    In the last decade, the prediction of protein secondary structure has been optimized using essentially one and the same assignment scheme known as DSSP. We present here a different scheme, which is more predictable. This scheme predicts directly the hydrogen bonds, which stabilize the secondary...... structures. Single sequence prediction of the new three category assignment gives an overall prediction improvement of 3.1% and 5.1%, compared to the DSSP assignment and schemes where the helix category consists of a-helix and 3(10)-helix, respectively. These results were achieved using a standard feed-forward...

  9. Finding Categories and Keywords in Web Services

    Science.gov (United States)

    Kop, Christian; Gälle, Doris; Mayr, Heinrich C.

    Nowadays web services are a common way to integrate functionality in an information system, but most of the time it is very difficult to find an appropriate service. If users of web service engines do not exactly know what they want, they often browse through categories and search with keywords. This, however, depends on the knowledge of the web service owner and his/her willingness to assign such keywords. This chapter gives a proposal to provide the user with candidates for keywords and categories which are derived directly from the web service specification itself.

  10. Enhanced Toxicity Potential of a Regimen on Addition of Doxorubicin in Combination Chemo-therapy

    Directory of Open Access Journals (Sweden)

    Pai Ganesh

    1997-01-01

    Full Text Available A comparative study of cutaneous toxicities of two different commonly used combination chemotherapeutic regimens was conducted on 16 patients of non-Hodgkin′s lymphoma. The common drugs in the two regimens were cyclophosphamide, vincristine and prednisone. One of the regimens which was administered to 10 patients, included doxorubicin as an additional drug. This combination is preferred in high grade malignancy. However, the addition of doxorubicin resulted in enhanced severity and multiplicity of cutaneous manifestations. If it is possible to choose between two or more regimens for a given malignancy, the risk-benefit ratio can be weighed to choose the appropriate and least toxic drugs.

  11. Coherent presentations and actions on categories

    CERN Document Server

    Gaussent, Stéphane; Malbos, Philippe

    2012-01-01

    We study Deligne's notion of action of a monoid on a category and, in particular, the piece of data that corresponds to the coherence relations that such an action should satisfy. We prove that actions of a monoid are equivalent to 2-functors from a 2-categorical cofibrant replacement of the monoid into the 2-category of categories. One way to compute such a cofibrant replacement is to consider the 2-category presented by a coherent presentation of the monoid: this is a presentation extended with a homotopy basis, that is, a set of relations between the relations that identifies any two proofs of the same equality in the monoid. Using higher-dimensional rewriting, in the polygraphic setting, we combine and extend Squier's theorem and Knuth-Bendix completion procedure into a "reduced homotopical completion" procedure that, when successful, transforms a given presentation into a relatively small coherent presentation. In particular, when used on Deligne's presentation of Artin-Tits groups of spherical type, the...

  12. Commutativity and ideals in category crossed products

    DEFF Research Database (Denmark)

    Öinert, Per Johan; Lundström, Patrik

    2010-01-01

    In order to simultaneously generalize matrix rings and group graded crossed products, we introduce category crossed products. For such algebras we describe the centre and the commutant of the coefficient ring. We also investigate the connection between on the one hand maximal commutativity of the...

  13. Gorensteinness and Tate Cohomology in Exact Categories

    Institute of Scientific and Technical Information of China (English)

    WANG Zhi-cheng

    2015-01-01

    Motivated by the classical Gorenstein homological theory and structure of Tate cohomology, we develop a theory of Gorenstein projective objects and Tate cohomology in an exact category A with enough projectives. We study some properties of Gorenstein projective objects and establish Tate cohomology of objects with finite Gorenstein projective dimension.

  14. Empire: An Analytical Category for Educational Research

    Science.gov (United States)

    Coloma, Roland Sintos

    2013-01-01

    In this article Roland Sintos Coloma argues for the relevance of empire as an analytical category in educational research. He points out the silence in mainstream studies of education on the subject of empire, the various interpretive approaches to deploying empire as an analytic, and the importance of indigeneity in research on empire and…

  15. New Evidence for Infant Colour Categories

    Science.gov (United States)

    Franklin, Anna; Davies, Ian R. L.

    2004-01-01

    Bornstein, Kessen, and Weiskopf (1976) reported that pre-linguistic infants perceive colour categorically for primary boundaries: Following habituation, dishabituation only occurred if the test stimulus was from a different adult category to the original. Here, we replicated this important study and extended it to include secondary boundaries,…

  16. The Space Category in Medieval Japanese Literature

    OpenAIRE

    GOREGLIAD, Vladislav N.

    1995-01-01

    The role of the fictional space in literary work depends on the correlations between on the one hand the world of ideas and emotions, and on the other hand the world of things, and in the final analysis on the ideological categories of the work.

  17. Embedded Cobordism Categories and Spaces of Submanifolds

    DEFF Research Database (Denmark)

    Randal-Williams, Oscar

    2011-01-01

    Galatius, Madsen, Tillmann, and Weiss [7] have identified the homotopy type of the classifying space of the cobordism category with objects (d -1)-dimensional manifolds embedded in R8. In this paper we apply the techniques of spaces of manifolds, as developed by the author and Galatius in [8], to...

  18. Traces on ideals in pivotal categories

    CERN Document Server

    Geer, Nathan; Virelizier, Alexis

    2011-01-01

    We extend the notion of an ambidextrous trace on an ideal (developed by the first two authors) to the setting of a pivotal category. We show that under some conditions, these traces lead to invariants of colored spherical graphs (and so to modified 6j-symbols).

  19. Ontological semantics in modified categorial grammar

    DEFF Research Database (Denmark)

    Szymczak, Bartlomiej Antoni

    2009-01-01

    Categorial Grammar is a well established tool for describing natural language semantics. In the current paper we discuss some of its drawbacks and how it could be extended to overcome them. We use the extended version for deriving ontological semantics from text. A proof-of-concept implementation...

  20. Immune-modulating effects of the newest cetuximab-based chemoimmunotherapy regimen in advanced colorectal cancer patients.

    Science.gov (United States)

    Botta, Cirino; Bestoso, Elena; Apollinari, Serena; Cusi, Maria Grazia; Pastina, Pierpaolo; Abbruzzese, Alberto; Sperlongano, Pasquale; Misso, Gabriella; Caraglia, Michele; Tassone, Pierfrancesco; Tagliaferri, Pierosandro; Correale, Pierpaolo

    2012-06-01

    Cetuximab is a human-murine chimeric monoclonal antibody to the epidermal growth factor receptor, active for advanced colorectal cancer treatment in combination with chemotherapy. Cetuximab mainly acts by inhibiting epidermal growth factor receptor-mediated pathways in cancer cells; however, in the human host, its IgG1 backbone may offer additional antitumor activity that includes FcγRs-mediated antibody-dependent cell cytotoxicity, phagocytosis, cross priming, and tumor-specific T-cell-mediated immune response. These mechanisms are still under active investigation. At this purpose, we have performed an immunologic investigation in advanced colon cancer patients enrolled in an ongoing phase II trial aimed to test the toxicity and the biological and antitumor activity of a novel biochemotherapy regimen combining polychemotherapy with gemcitabine, irinotecan, levofolinic acid, and fluorouracil with cetuximab and with subcutaneous low-dose metronomic aldesleukin (GILFICet regimen). The peripheral blood mononuclear cells of the first 20 patients enrolled in the GILFICet trial were collected at baseline and after 6 treatment cycles and examined for immune-phenotype change by flow cytometry. Colon cancer-specific T-cell lines were also generated ex vivo from these samples and subsequently characterized for immune phenotype, functional activity, and antigen specificity. We found a treatment-related increase of circulating dendritic cells, natural killer cells, central memory T cells, and activated T cells with a T-helper 1 (Th1)-cytotoxic phenotype. In addition, the ex-vivo characterization of antigen-specific T cells derived from the treated patients revealed a significant increase in proliferating cytotoxic T-lymphocyte precursors specific for carcinoembryonic antigen and thymidylate synthase derivative epitope peptides. On these basis, we concluded that the GILFICet regimen exerts substantial immune-modulating activity that significantly affects tumor antigen

  1. Effect of musical experience on learning lexical tone categories.

    Science.gov (United States)

    Zhao, T Christina; Kuhl, Patricia K

    2015-03-01

    Previous studies suggest that musicians show an advantage in processing and encoding foreign-language lexical tones. The current experiments examined whether musical experience influences the perceptual learning of lexical tone categories. Experiment I examined whether musicians with no prior experience of tonal languages differed from nonmusicians in the perception of a lexical tone continuum. Experiment II examined whether short-term perceptual training on lexical tones altered the perception of the lexical tone continuum differentially in English-speaking musicians and nonmusicians. Results suggested that (a) musicians exhibited higher sensitivity overall to tonal changes, but perceived the lexical tone continuum in a manner similar to nonmusicians (continuously), in contrast to native Mandarin speakers (categorically); and (b) short-term perceptual training altered perception; however, there were no significant differences between the effects of training on musicians and nonmusicians. PMID:25786956

  2. Aggressive regimens for multidrug-resistant tuberculosis decrease all-cause mortality.

    Directory of Open Access Journals (Sweden)

    Carole D Mitnick

    Full Text Available RATIONALE: A better understanding of the composition of optimal treatment regimens for multidrug-resistant tuberculosis (MDR-TB is essential for expanding universal access to effective treatment and for developing new therapies for MDR-TB. Analysis of observational data may inform the definition of an optimized regimen. OBJECTIVES: This study assessed the impact of an aggressive regimen-one containing at least five likely effective drugs, including a fluoroquinolone and injectable-on treatment outcomes in a large MDR-TB patient cohort. METHODS: This was a retrospective cohort study of patients treated in a national outpatient program in Peru between 1999 and 2002. We examined the association between receiving an aggressive regimen and the rate of death. MEASUREMENTS AND MAIN RESULTS: In total, 669 patients were treated with individualized regimens for laboratory-confirmed MDR-TB. Isolates were resistant to a mean of 5.4 (SD 1.7 drugs. Cure or completion was achieved in 66.1% (442 of patients; death occurred in 20.8% (139. Patients who received an aggressive regimen were less likely to die (crude hazard ratio [HR]: 0.62; 95% CI: 0.44,0.89, compared to those who did not receive such a regimen. This association held in analyses adjusted for comorbidities and indicators of severity (adjusted HR: 0.63; 95% CI: 0.43,0.93. CONCLUSIONS: The aggressive regimen is a robust predictor of MDR-TB treatment outcome. TB policy makers and program directors should consider this standard as they design and implement regimens for patients with drug-resistant disease. Furthermore, the aggressive regimen should be considered the standard background regimen when designing randomized trials of treatment for drug-resistant TB.

  3. Induction of Specific Immunotherapy with Hymenoptera Venoms Using Ultrarush Regimen in Children: Safety and Tolerance

    Directory of Open Access Journals (Sweden)

    Alice Köhli-Wiesner

    2012-01-01

    Full Text Available Background & Objective. Ultrarush induction for specific venom immunotherapy has been shown to be reliable and efficacious in adults. In this study its safety and tolerance in children was evaluated. Methods. Retrospective analysis of 102 ultrarush desensitizations carried out between 1997 and 2005 in 94 children, aged 4 to 15 years. Diagnosis and selection for immunotherapy were according to recommendations of the European Academy of Allergy and Clinical Immunology. Systemic adverse reactions (SARs were described using the classification of H. L. Mueller. Results. All patients reached the cumulative dose of 111.1 μg hymenoptera venom within 210 minutes. Six patients (6% had allergic reactions grade I; 2 patients (2% grade II and 5 patients (5% grade III. Three patients (3% showed unclassified reactions. SARs did not occur in the 15 patients aged 4 to 8 years and they were significantly more frequent in girls (29% compared with boys (12% (=0.034, multivariant analysis and in bee venom extract treated patients (20% compared to those treated with wasp venom extract (8% (OR 0.33, 95% Cl 0.07–1.25. Conclusion. Initiation of specific immunotherapy by ultrarush regimen is safe and well tolerated in children and should be considered for treating children with allergy to hymenoptera venom.

  4. Comparison of three dose regimens of aprotinin in infants undergoing the arterial switch operation

    Directory of Open Access Journals (Sweden)

    Verma Yashwant

    2010-01-01

    Full Text Available To determine the most effective dose regimen of aprotinin for infants undergoing arterial switch operation for transposition of the great arteries in reducing blood loss and postoperative packed red blood cell (PRBC requirements. A total of 24 infants scheduled for arterial switch operation for transposition of the great arteries were included in the study. The infants were randomly assigned to one of the three groups. Group I (n = 8 patients received aprotinin in a dose of 20,000 kallikrein inhibiting units (KIU/kg after induction of anesthesia, 20,000 KIU/kg was added to the pump prime, and 20,000 KIU/kg/hour infusion for three hours after weaning from bypass; group II (n = 8 patients received aprotinin 30,000 KIU/kg after induction of anesthesia, 30,000 KIU/kg was added to the pump prime and 30,000 KIU/Kg/hour infusion for three hours after weaning from bypass; group III patients (n = 8 received aprotinin 40,000 KIU/kg after induction of anesthesia, 40,000 KIU/kg was added to the pump prime and 40,000 KIU/kg/hour infusion for three hours after weaning from bypass. Postoperatively, the cumulative hourly blood loss and PRBC requirements were noted up to 24 hours from the time of admission in the intensive care unit (ICU. Use of blood and blood products were noted. Coagulation parameters such as hematocrit, activated clotting time (ACT, fibrinogen, prothrombin time (PT, international normalized ratio (INR, platelet count, and fibrin degradation products (FDP were investigated before cardiopulmonary bypass (CPB, after protamine administration, and at four hours postoperatively in the ICU. The number of infants reexplored for increased mediastinal drainage was recorded. Renal functions were monitored by measuring urine output (hourly and serum urea (mg% and serum creatinine (mg% at 24 hours. The sternal closure time was comparable in all the three groups. Cumulative blood loss (ml/kg/24 hours was greatest in group I (17.30 ± 7.7, least in group

  5. Randomized phase II/III trial assessing gemcitabine/carboplatin and methotrexate/carboplatin/vinblastine in patients with advanced urothelial cancer who are unfit for cisplatin-based chemotherapy

    DEFF Research Database (Denmark)

    De Santis, Maria; Bellmunt, Joaquim; Mead, Graham;

    2012-01-01

    This is the first randomized phase II/III trial comparing two carboplatin-based chemotherapy regimens in patients with urothelial cancer who are ineligible ("unfit") for cisplatin chemotherapy.......This is the first randomized phase II/III trial comparing two carboplatin-based chemotherapy regimens in patients with urothelial cancer who are ineligible ("unfit") for cisplatin chemotherapy....

  6. Following an HIV Regimen: Steps to Take Before and After Starting HIV Medicines

    Science.gov (United States)

    HIV Treatment Following an HIV Regimen: Steps to Take Before and After Starting HIV Medicines (Last updated 3/1/2016; last reviewed 3/1/2016) ... maintain long-term medication adherence. Before starting an HIV regimen, talk to your health care provider about ...

  7. Drug susceptibility testing and pharmacokinetics question current treatment regimens in Mycobacterium simiae complex disease.

    NARCIS (Netherlands)

    Ingen, J. van; Totten, S.E.; Heifets, L.B.; Boeree, M.J.; Daley, C.L.

    2012-01-01

    The Mycobacterium simiae complex bacteria can cause opportunistic infections in humans. In the case of definite disease, there are no evidence-based treatment regimens and outcomes are very disappointing. To increase the evidence base underpinning treatment regimens for M. simiae complex disease, dr

  8. Isoniazid or Moxifloxacin in Rifapentine-based Regimens for Experimental Tuberculosis?

    OpenAIRE

    Rosenthal, Ian M; Zhang, Ming; Almeida, Deepak; Jacques H Grosset; Eric L Nuermberger

    2008-01-01

    Rationale: Recent studies have demonstrated that combined substitutions of rifapentine for rifampin and moxifloxacin for isoniazid in the standard, daily, short-course regimen of rifampin, isoniazid, and pyrazinamide produces stable cure in 12 weeks or less. This study was designed to more precisely evaluate the contribution of moxifloxacin and isoniazid to rifapentine-based regimens.

  9. Genetic evolution of HIV in patients remaining on a stable HAART regimen despite insufficient viral suppression

    DEFF Research Database (Denmark)

    Kristiansen, Thomas B; Pedersen, Anders; Eugen-Olsen, Jesper;

    2005-01-01

    Our objective was to investigate whether steadily increasing resistance levels are inevitable in the course of a failing but unchanged Highly Active Antiretroviral Therapy (HAART) regimen. Patients having an unchanged HAART regimen and a good CD4 response (100 cells/microl above nadir) despite co...

  10. Efficacy of adjusted BACOD regimen on the treatment of relapsed refractory diffuse large B cell lymphoma

    Institute of Scientific and Technical Information of China (English)

    龚格格

    2014-01-01

    Objective To compare the efficacy and adverse events of adjusted BACOD(bleomycin,doxorubicin,cyclophosphamide,vincristine,dexamethasone)regimen(continuous intravenous infusion)and conventional BACOD regimen(conventional intravenous drip)in the treatment of relapsed and refractory diffuse large B cell lymphoma(DLBCL).Methods Retrospective analysis of63 cases of relapsed or refractory DLBCL patients was performed,32 patients received conventional BACOD

  11. Polypharmacy: correlations with sex, age and drug regimen

    DEFF Research Database (Denmark)

    Bjerrum, L; Søgaard, J; Hallas, J;

    1998-01-01

    day, 8.3% of the population were exposed to minor PP and 1.2% to major PP. The prevalence of PP increased with age, and from the age of 70 years, two thirds of all drug users were PP users. Drug use was 50% more prevalent among women than men, but over the age of 70, the sexes did not differ...... therapeutic class (second level of the ATC code) was used as an indicator for the type of health problem. A stepwise backwards logistic regression was used to identify predictors of major PP. Odds ratios were calculated for different drug classes, and the age and sex of all drug users. RESULTS: On a random...... in the prevalence of major PP. Many different drug combinations were found, and among major PP users (n = 5443), two thirds had their own unique drug regimen, different from all other drug users. Cardiovascular drugs and analgesics were often involved in PP among the elderly, while asthma drugs, psychotropic drugs...

  12. In Vivo T Cell Depletion with Myeloablative Regimens on Outcomes after Cord Blood Transplantation for Acute Lymphoblastic Leukemia in Children.

    Science.gov (United States)

    Ponce, Doris M; Eapen, Mary; Sparapani, Rodney; O'Brien, Tracey A; Chan, Ka Wah; Chen, Junfang; Craddock, John; Schultz, Kirk R; Wagner, John E; Perales, Miguel-Angel; Barker, Juliet N

    2015-12-01

    The inclusion of antithymocyte globulin (ATG) in cord blood transplantation is controversial. We evaluated outcomes according to ATG inclusion in 297 children and adolescents with acute lymphoblastic leukemia (ALL) who received myeloablative total body irradiation-based conditioning and either single-unit (74%) or double-unit (26%) grafts. Ninety-two patients (31%) received ATG and 205 (69%) did not. ATG recipients were more likely to be cytomegalovirus seronegative. The incidences of day 100 grades II to IV acute graft-versus-host disease (GVHD; 30% versus 54%, P = .0002) and chronic GVHD (22% versus 43%, P = .0008) were lower with ATG compared with non-ATG regimens. However, day 100 grades III to IV acute GVHD was comparable (11% versus 17%, P = .15). The 3-year incidences of transplant-related mortality (16% versus 17%, P = .98), relapse (17% versus 27%, P = .12), and leukemia-free survival (66% versus 55%, P = .23) in ATG and non-ATG recipients were similar. There were no differences in viral reactivation between treatment groups (60% versus 58%, P = .83). Therefore, the data suggest that incorporation of ATG with myeloablative conditioning regimens may be useful in reducing the risk of acute and chronic GVHD without any deleterious effect on transplant-related mortality, relapse, or leukemia-free survival in children and adolescents with ALL.

  13. [Comparison of clinical efficacy between decitabine combined with CAG regimen and CAG regimen alone in patients with intermediate to high-risk myelodysplastic syndromes].

    Science.gov (United States)

    Zhang, Yun-Ping; Wu, Wen-Zhong; Cui, Guo-Xing

    2014-10-01

    This study was purposed to compare the clinical efficacy and adverse reactions of low-dose decitabine combined with CAG regimen (aclarubicin, Ara-C, and G-CSF) and CAG regimen alone in intermediate to high-risk myelodysplastic syndromes (MDS), and evaluate the validity and efficacy of the former regimen as new treatment method of intermediate to high-risk myelodysplastic syndromes. A total of 12 patients with intermediate (IR) to high-risk (HR) MDS treated by low-dose decitabine combined with CAG regimen and 10 patients with IR to HR MDS treated by CAG regimen alone were evaluated after treatment of 1 cycle and at least after 2 cycles. The complete remission (CR) after 1 cycle, overall remission rate (ORR), progression free survival (PFS) and overall survival (OS) between them were analyzed. The results showed that 9 patients treated by low-dose decitabine combined with CAG regimen achieved complete remission after 1 cycle, 2 patients achieved partial remission, 1 patient did not show reaction. The complete remission rate was 75.0% and overall response rate was 91.7%. The median time of disease free survival was 9 months (0-27 months). The median overall survival time was 16 months (3-28 months). 4 patients suffered from pulmonary infection after treatment and then were all cured after treatment with anti-infective therapy. The 5 patients treated by CAG regimen alone achieved complete remission,3 patients achieved partial remission, 2 patients showed non-reaction. The complete remission rate was 50.0% and overall response rate was 80.0%. The median time of disease free survival was 6 months(0-18 months). The median overall survival time was 13 months(3-31 months), 4 patients suffered from pulmonary infection, 1 patient suffered from enteric infection and 1 patient suffered from Escherichia coli septicemia after treatment, all of them becomed better after active treatment. Two groups of patients all had no serious adverse reactions, All patients could tolerate, no

  14. TO THE QUESTION OF PROFIT CATEGORY

    Directory of Open Access Journals (Sweden)

    V. V. Myamlin

    2009-08-01

    Full Text Available The economic category “profit” is considered. The discrepancies and inconsistency of the existing financial-andeconomic model of management based only upon the “profitable” paradigm is demonstrated. It is shown how a “profit” affects a discrepancy between the supply of goods and the related solvent demand. It is suggested to build the laws of economics starting not from the private interests of separate social groups but from the universal laws of the Nature. The transition from “profit” maximization to wages/salary maximization is recommended. It is proposed to exclude a category “profit” from the financial-and-economic model of management as an unnecessary and imaginary one that continuously leads the economic system to crisis.

  15. Neural responses to category ambiguous words.

    Science.gov (United States)

    Conwell, Erin

    2015-03-01

    Category ambiguous words (like hug and swing) have the potential to complicate both learning and processing of language. However, uses of such words may be disambiguated by acoustic differences that depend on the category of use. This article uses an event-related potential (ERP) technique to ask whether adult native speakers of English show neural sensitivity to those differences. The results indicate that noun and verb tokens of ambiguous words produce differences in the amplitude of the ERP response over left anterior sites as early as 100ms following stimulus onset and persisting for over 400ms. Nonsense words extracted from noun and verb contexts do not show such differences. These findings suggest that the acoustic differences between noun and verb tokens of ambiguous words are perceived and processed by adults and may be part of the lexical representation of the word. PMID:25637057

  16. Categories of definiteness in Classical Armenian

    Directory of Open Access Journals (Sweden)

    Angelika Müth

    2011-08-01

    Full Text Available In this paper, the use of the definite article in semantic and pragmatic categories in the Greek and Classical Armenian New Testament translation is compared. Greek and Classical Armenian agree in their use of the definite article only in NPs determined by contrastive attributes. In all other categories the systems of both languages differ. Generally, Armenian avoids the definite article with proper nouns and nouns with unique reference, while definite articles with proper names in Greek are common (with the exception of sacred or especially “respected” persons such as prophets. If the definite article is present in Greek, it is often motivated by pragmatic factors (e.g. re-topicalization, etc.. There is no clear evidence in Armenian for the use of the definite article as a marker of generic reference, nor for the use in NPs determined by superlative, comparative or ordinal attributes.

  17. Investor Attention: Overconfidence and Category Learning

    OpenAIRE

    Lin Peng; Wei Xiong

    2005-01-01

    Motivated by psychological evidence that attention is a scarce cognitive resource, we model investors' attention allocation in learning and study the effects of this on asset-price dynamics. We show that limited investor attention leads to ``category-learning" behavior, i.e., investors tend to process more market and sector-wide information than firm-specific information. This endogenous structure of information, when combined with investor overconfidence, generates important features observe...

  18. Health effects of risk-assessment categories

    Energy Technology Data Exchange (ETDEWEB)

    Kramer, C.F.; Rybicka, K.; Knutson, A.; Morris, S.C.

    1983-10-01

    Environmental and occupational health effects associated with exposures to various chemicals are a subject of increasing concern. One recently developed methodology for assessing the health impacts of various chemical compounds involves the classification of similar chemicals into risk-assessment categories (RACs). This report reviews documented human health effects for a broad range of pollutants, classified by RACs. It complements other studies that have estimated human health effects by RAC based on analysis and extrapolation of data from animal research.

  19. Health effects of risk-assessment categories

    International Nuclear Information System (INIS)

    Environmental and occupational health effects associated with exposures to various chemicals are a subject of increasing concern. One recently developed methodology for assessing the health impacts of various chemical compounds involves the classification of similar chemicals into risk-assessment categories (RACs). This report reviews documented human health effects for a broad range of pollutants, classified by RACs. It complements other studies that have estimated human health effects by RAC based on analysis and extrapolation of data from animal research

  20. Metacognitive Control of Categorial Neurobehavioral Decision Systems

    OpenAIRE

    Foxall, Gordon R

    2016-01-01

    The competing neuro-behavioral decision systems (CNDS) model proposes that the degree to which an individual discounts the future is a function of the relative hyperactivity of an impulsive system based on the limbic and paralimbic brain regions and the relative hypoactivity of an executive system based in prefrontal cortex (PFC). The model depicts the relationship between these categorial systems in terms of the antipodal neurophysiological, behavioral, and decision (cognitive) functions tha...

  1. DVE architecture based on message category

    Institute of Scientific and Technical Information of China (English)

    WU Yan-hua; ZHANG Qiang; CAI Yun-ze; XU Xiao-ming

    2009-01-01

    By importing the idea of P2P, and transmitting messages among clients directly into the client-server architecture, a new hybrid architecture was presented with the help of AOI technology and message category. Theoretical analysis of this architecture was presented in detail. A series of simulation experiments was carried out to verify its effectiveness. Results indicate that the new architecture produces less server message workload than traditional architectures, which can improve the scalability of DVE systems.

  2. Listeners retune phoneme categories across languages.

    Science.gov (United States)

    Reinisch, Eva; Weber, Andrea; Mitterer, Holger

    2013-02-01

    Native listeners adapt to noncanonically produced speech by retuning phoneme boundaries by means of lexical knowledge. We asked whether a second language lexicon can also guide category retuning and whether perceptual learning transfers from a second language (L2) to the native language (L1). During a Dutch lexical-decision task, German and Dutch listeners were exposed to unusual pronunciation variants in which word-final /f/ or /s/ was replaced by an ambiguous sound. At test, listeners categorized Dutch minimal word pairs ending in sounds along an /f/-/s/ continuum. Dutch L1 and German L2 listeners showed boundary shifts of a similar magnitude. Moreover, following exposure to Dutch-accented English, Dutch listeners also showed comparable effects of category retuning when they heard the same speaker speak her native language (Dutch) during the test. The former result suggests that lexical representations in a second language are specific enough to support lexically guided retuning, and the latter implies that production patterns in a second language are deemed a stable speaker characteristic likely to transfer to the native language; thus retuning of phoneme categories applies across languages.

  3. Metacognitive Control of Categorial Neurobehavioral Decision Systems.

    Science.gov (United States)

    Foxall, Gordon R

    2016-01-01

    The competing neuro-behavioral decision systems (CNDS) model proposes that the degree to which an individual discounts the future is a function of the relative hyperactivity of an impulsive system based on the limbic and paralimbic brain regions and the relative hypoactivity of an executive system based in prefrontal cortex (PFC). The model depicts the relationship between these categorial systems in terms of the antipodal neurophysiological, behavioral, and decision (cognitive) functions that engender normal and addictive responding. However, a case may be made for construing several components of the impulsive and executive systems depicted in the model as categories (elements) of additional systems that are concerned with the metacognitive control of behavior. Hence, this paper proposes a category-based structure for understanding the effects on behavior of CNDS, which includes not only the impulsive and executive systems of the basic model but a superordinate level of reflective or rational decision-making. Following recent developments in the modeling of cognitive control which contrasts Type 1 (rapid, autonomous, parallel) processing with Type 2 (slower, computationally demanding, sequential) processing, the proposed model incorporates an arena in which the potentially conflicting imperatives of impulsive and executive systems are examined and from which a more appropriate behavioral response than impulsive choice emerges. This configuration suggests a forum in which the interaction of picoeconomic interests, which provide a cognitive dimension for CNDS, can be conceptualized. This proposition is examined in light of the resolution of conflict by means of bundling. PMID:26925004

  4. Metacognitive control of categorial neurobehavioral decision systems

    Directory of Open Access Journals (Sweden)

    Gordon Robert Foxall

    2016-02-01

    Full Text Available The competing neuro-behavioral decision systems (CNDS model proposes that the degree to which an individual discounts the future is a function of the relative hyperactivity of an impulsive system based on the limbic and paralimbic brain regions and the relative hypoactivity of an executive system based in prefrontal cortex (PFC. The model depicts the relationship between these categorial systems in terms of the antipodal neurophysiological, behavioral, and decision (cognitive functions that engender classes normal and addictive responding. However, a case may be made for construing several components of the impulsive and executive systems depicted in the model as categories (elements of additional systems that are concerned with the metacognitive control of behavior. Hence, this paper proposes a category-based structure for understanding the effects on behavior of CNDS, which includes not only the impulsive and executive systems of the basic model but, a superordinate level of reflective or rational decision-making. Following recent developments in the modeling of cognitive control which contrasts Type 1 (rapid, autonomous, parallel processing with Type 2 (slower, computationally-demanding, sequential processing, the proposed model incorporates an arena in which the potentially conflicting imperatives of impulsive and executive systems are examined and from which a more appropriate behavioral response than impulsive choice emerges. This configuration suggests a forum in which the interaction of picoeconomic interests, which provide a cognitive dimension for CNDS, can be conceptualized. This proposition is examined in light of the resolution of conflict by means of bundling.

  5. Metacognitive Control of Categorial Neurobehavioral Decision Systems.

    Science.gov (United States)

    Foxall, Gordon R

    2016-01-01

    The competing neuro-behavioral decision systems (CNDS) model proposes that the degree to which an individual discounts the future is a function of the relative hyperactivity of an impulsive system based on the limbic and paralimbic brain regions and the relative hypoactivity of an executive system based in prefrontal cortex (PFC). The model depicts the relationship between these categorial systems in terms of the antipodal neurophysiological, behavioral, and decision (cognitive) functions that engender normal and addictive responding. However, a case may be made for construing several components of the impulsive and executive systems depicted in the model as categories (elements) of additional systems that are concerned with the metacognitive control of behavior. Hence, this paper proposes a category-based structure for understanding the effects on behavior of CNDS, which includes not only the impulsive and executive systems of the basic model but a superordinate level of reflective or rational decision-making. Following recent developments in the modeling of cognitive control which contrasts Type 1 (rapid, autonomous, parallel) processing with Type 2 (slower, computationally demanding, sequential) processing, the proposed model incorporates an arena in which the potentially conflicting imperatives of impulsive and executive systems are examined and from which a more appropriate behavioral response than impulsive choice emerges. This configuration suggests a forum in which the interaction of picoeconomic interests, which provide a cognitive dimension for CNDS, can be conceptualized. This proposition is examined in light of the resolution of conflict by means of bundling.

  6. Effect of weaning status and implant regimen on growth, performance, and carcass characteristics of steers.

    Science.gov (United States)

    Schoonmaker, J P; Fluharty, F L; Loerch, S C; Turner, T B; Moeller, S J; Wulf, D M

    2001-05-01

    One hundred forty-three Angus x Simmental crossbred steers (initial BW = 155.1 +/- 4.5 kg) were used in a 2-yr study (yr 1, n = 67; yr 2, n = 76) to determine the effects of weaning age, implant regimen, and the weaning age x implant regimen interaction on steer growth and performance, organ mass, carcass characteristics, and cooked beef palatability. Steers were early-weaned at an average age of 108 d (EW) or normally weaned at an average age of 202 d (NW) and allotted by weight to an aggressive or nonaggressive implant regimen. On their respective weaning dates, EW and NW steers were penned individually and fed a grain-based diet until they were slaughtered at a final BW of 546 kg. A subsample of steers (n = 2 per treatment) were slaughtered at 254 kg. At 254 kg, EW steers implanted with the aggressive implant regimen had 64% greater backfat depth than those implanted with the nonaggressive implant regimen; conversely, NW steers implanted with the aggressive implant regimen had 52% lower backfat depth than those implanted with the nonaggressive implant regimen (weaning status x implant regimen interaction; P 0.37) or feed efficiency (P > 0.15). Weaning status did not affect carcass characteristics (P > 0.14), final empty body composition (P > 0.25), or final longissimus muscle composition (P > 0.18); however, steaks from EW steers had higher (P 0.86) compared to the nonaggressive implant regimen. Placing early-weaned steers on an aggressive implant regimen is a viable management option. PMID:11374527

  7. Therapeutic efficacy of alternative primaquine regimens to standard treatment in preventing relapses by Plasmodium vivax

    Science.gov (United States)

    Tamayo Perez, María-Eulalia; Aguirre-Acevedo, Daniel Camilo

    2015-01-01

    Objective: To compare efficacy and safety of primaquine regimens currently used to prevent relapses by P. vivax. Methods: A systematic review was carried out to identify clinical trials evaluating efficacy and safety to prevent malaria recurrences by P. vivax of primaquine regimen 0.5 mg/kg/ day for 7 or 14 days compared to standard regimen of 0.25 mg/kg/day for 14 days. Efficacy of primaquine according to cumulative incidence of recurrences after 28 days was determined. The overall relative risk with fixed-effects meta-analysis was estimated. Results: For the regimen 0.5 mg/kg/day/7 days were identified 7 studies, which showed an incidence of recurrence between 0% and 20% with follow-up 60-210 days; only 4 studies comparing with the standard regimen 0.25 mg/kg/day/14 days and no difference in recurrences between both regimens (RR= 0.977, 95% CI= 0.670 to 1.423) were found. 3 clinical trials using regimen 0.5 mg/kg/day/14 days with an incidence of recurrences between 1.8% and 18.0% during 330-365 days were identified; only one study comparing with the standard regimen (RR= 0.846, 95% CI= 0.484 to 1.477). High risk of bias and differences in handling of included studies were found. Conclusion: Available evidence is insufficient to determine whether currently PQ regimens used as alternative rather than standard treatment have better efficacy and safety in preventing relapse of P. vivax. Clinical trials are required to guide changes in treatment regimen of malaria vivax. PMID:26848199

  8. Graded mutation in cluster categories coming from hereditary categories with a tilting object

    CERN Document Server

    Bertani-Økland, Marco Angel; Wrålsen, Anette

    2010-01-01

    We present a graded mutation rule for quivers of cluster-tilted algebras. Furthermore, we give a technique to recover a cluster-tilting object from its graded quiver in the cluster category of coh $\\mathbb{X}$.

  9. Formation of category representations in superior temporal sulcus

    NARCIS (Netherlands)

    Linden, M. Van der; Turennout, M. van; Indefrey, P.

    2010-01-01

    The human brain contains cortical areas specialized in representing object categories. Visual experience is known to change the responses in these category-selective areas of the brain. However, little is known about how category training specifically affects cortical category selectivity. Here, we

  10. Cross-category demand effects of price promotions

    NARCIS (Netherlands)

    Leeflang, Peter S. H.; Parreno-Selva, Josefa

    2012-01-01

    Do promotions in a certain category lead to higher revenues in other categories? If so, to what degree? The answers to these questions are highly relevant for retailers that supply products in different categories. Empirical findings in studies that consider a limited number of categories indicate s

  11. The Picard crossed module of a braided tensor category

    OpenAIRE

    Davydov, Alexei; Nikshych, Dmitri

    2012-01-01

    For a finite braided tensor category we introduce its Picard crossed module consisting of the group of invertible module categories and the group of braided tensor autoequivalences. We describe the Picard crossed module in terms of braided autoequivalences of the Drinfeld center of the braided tensor category. As an illustration, we compute the Picard crossed module of a braided pointed fusion category.

  12. Evaluation of the efficacy and safety of three dosing regimens of agalsidase alfa enzyme replacement therapy was underpowered

    Directory of Open Access Journals (Sweden)

    Ortiz A

    2015-11-01

    Full Text Available Alberto Ortiz,1,2 Maria Dolores Sanchez-Niño1,2 1Department of Nephrology, IIS-Fundacion Jimenez Diaz, School of Medicine, Universidad Autónoma de Madrid, 2Department of Nephrology, Instituto Reina Sofia de Investigación Nefrológica, Madrid, Spain We read with interest the report by Goláň et al on the “Evaluation of the efficacy and safety of three dosing regimens of agalsidase alfa enzyme replacement therapy in adults with Fabry disease”.1 Based on the reported results, the authors conclude that no efficacy or safety differences were found when the approved every-other-week (EOW dosage of agalsidase alfa was increased to weekly administration. However, the key question is whether the study, as designed and performed, could have had a different outcome. View original article by Goláň et al.

  13. New reduced volume preparation regimen in colon capsule endoscopy

    Institute of Scientific and Technical Information of China (English)

    Yasuo Kakugawa; Kazuhide Higuchi; Shinji Tanaka; Hideki Ishikawa; Hisao Tajiri; Yutaka Saito; Shoichi Saito; Kenji Watanabe; Naoki Ohmiya; Mitsuyuki Murano; Shiro Oka; Tetsuo Arakawa; Hidemi Goto

    2012-01-01

    AIM:To evaluate the effectiveness of our proposed bowel preparation method for colon capsule endoscopy.METHODS:A pilot,multicenter,randomized controlled trial compared our proposed "reduced volume method" (group A) with the "conventional volume method" (group B) preparation regimens.Group A did not drink polyethylene glycol electrolyte lavage solution (PEGELS) the day before the capsule procedure,while group B drank 2 L.During the procedure day,groups A and B drank 2 L and 1 L of PEG-ELS,respectively,and swallowed the colon capsule (PillCam COLON(R) capsule).Two hours later the first booster of 100 g magnesium citrate mixed with 900 mL water was administered to both groups,and the second booster was administered six hours post capsule ingestion as long as the capsule had not been excreted by that time.Capsule videos were reviewed for grading of cleansing level.RESULTS:Sixty-four subjects were enrolled,with results from 60 analyzed.Groups A and B included 31 and 29 subjects,respectively.Twenty-nine (94%) subjects in group A and 25 (86%) subjects in group B had adequate bowel preparation (ns).Twenty-two (71%) of the 31 subjects in group A excreted the capsule within its battery life compared to 16 (55%) of the 29 subjects in group B (ns).Of the remaining 22 subjects whose capsules were not excreted within the battery life,all of the capsules reached the left side colon before they stopped functioning.A single adverse event was reported in one subject who had mild symptoms of nausea and vomiting one hour after starting to drink PEG-ELS,due to ingesting the PEG-ELS faster than recommended.CONCLUSION:Our proposed reduced volume bowel preparation method for colon capsule without PEG-ELS during the days before the procedure was as effective as the conventional volume method.

  14. Quantitative drug-susceptibility in patients treated for multidrug-resistant tuberculosis in Bangladesh: implications for regimen choice.

    Directory of Open Access Journals (Sweden)

    Scott K Heysell

    Full Text Available Multidrug-resistant tuberculosis (MDR-TB treatment in Bangladesh is empiric or based on qualitative drug-susceptibility testing (DST by comparative growth in culture media with and without a single drug concentration.Adult patients were enrolled throughout Bangladesh during the period of 2011-2013 at MDR-TB treatment initiation. Quantitative DST by minimum inhibitory concentration (MIC testing for 12 first and second-line anti-TB drugs was compared to pretreatment clinical characteristics and treatment outcomes. MIC values at or one dilution lower than the resistance breakpoint used for qualitative DST were categorized as borderline susceptible, and MIC values one or two dilutions greater as borderline resistant.Seventy-four patients were enrolled with a mean age of 35 ± 15 years, and 51 (69% were men. Of the rifampin isolates with MIC >1.0 μg/ml, 12 (19% were fully susceptible or borderline susceptible to rifabutin (MIC ≤ 0.5 μg/ml. Amikacin was fully susceptible in 73 isolates (99%, but kanamycin in only 54 (75% (p<0.001. Ofloxacin was borderline susceptible in 64%, and fully susceptible in only 14 (19% compared to 60 (81% of isolates fully susceptible for moxifloxacin (p<0.001. Kanamycin non-susceptibility and receipt of the WHO Category IV regimen trended with interim treatment failure: adjusted odd ratios respectively of 5.4 [95% CI 0.82-36.2] (p = 0.08 and 7.2 [0.64-80.7] (p = 0.11.Quantitative MIC testing could impact MDR-TB regimen choice in Bangladesh. Comparative trials of higher dose or later generation fluoroquinolone, within class change from kanamycin to amikacin, and inclusion of rifabutin appear warranted.

  15. Topoi the categorial analysis of logic

    CERN Document Server

    Goldblatt, R

    1984-01-01

    The first of its kind, this book presents a widely accessible exposition of topos theory, aimed at the philosopher-logician as well as the mathematician. It is suitable for individual study or use in class at the graduate level (it includes 500 exercises). It begins with a fully motivated introduction to category theory itself, moving always from the particular example to the abstract concept. It then introduces the notion of elementary topos, with a wide range of examples and goes on to develop its theory in depth, and to elicit in detail its relationship to Kripke's intuitionistic semantics,

  16. Introduction to Categories and Categorical Logic

    Science.gov (United States)

    Abramsky, S.; Tzevelekos, N.

    The aim of these notes is to provide a succinct, accessible introduction to some of the basic ideas of category theory and categorical logic. The notes are based on a lecture course given at Oxford over the past few years. They contain numerous exercises, and hopefully will prove useful for self-study by those seeking a first introduction to the subject, with fairly minimal prerequisites. The coverage is by no means comprehensive, but should provide a good basis for further study; a guide to further reading is included.

  17. Characterization of HIV-1 from patients with virological failure to a boosted protease inhibitor regimen

    DEFF Research Database (Denmark)

    Lillemark, Marie Rathcke; Gerstoft, Jan; Obel, Niels;

    2011-01-01

    The use of highly active antiretroviral treatment (HAART) regimens with unboosted protease inhibitors (PIs) has resulted in a high level of virological failure primarily due to the development of resistant virus. Current boosted PI regimens combine successfully low-dose ritonavir (r) with a second...... PI. The aim of the study was to estimate the proportion of patients, in a population based setting, who develop virological failure on a PI/r regimen. Through The Danish HIV Cohort Study 1,007 patients who received PI/r based treatment between 1995 and 2008 were identified. Twenty-three (2...

  18. CEUS Helps to Rerate Small Breast Tumors of BI-RADS Category 3 and Category 4

    Directory of Open Access Journals (Sweden)

    Jian-xing Zhang

    2014-01-01

    Full Text Available Purpose. The primary aim of this study was to explore if classification, whether using the BI-RADS categories based on CEUS or conventional ultrasound, was conducive to the identification of benign and malignant category 3 or 4 small breast lesions. Material and Methods. We evaluated 30 malignant and 77 benign small breast lesions using CEUS. The range of enhancement, type of enhancement strength, intensity of enhancement, and enhancement patterns were independent factors included to assess the BI-RADS categories. Results. Of the nonenhanced breast lesions, 97.8% (44/45 were malignant, while, of the hyperplasic nodules, 96.8% (30/31 showed no enhancement in our study. Category changes of the lesions were made according to the features determined using CEUS. The results showed that these features could improve diagnostic sensitivity (from 70.0 to 80.0, 80.0, 90.0, and 90.0%, reduce the negative likelihood ratio (from 0.33 to 0.22, 0.25, 0.11, and 0.12, and improve the NPV (from 88.8 to 92.2, 91.2, 96.2, and 95.5%. However, this was not conducive to improve diagnostic specificity or the PPV. Conclusion. The vast majority of nonenhanced small breast lesions were malignant and most of the hyperplasic nodules showed no contrast enhancement. As a reference, CEUS was helpful in identifying BI-RADS category 3 or 4 small breast lesions.

  19. Persistence to single-tablet regimen versus less-drug regimen in treatment experienced HIV-infected patients on antiretroviral therapy.

    Science.gov (United States)

    Jiménez-Galán, Rocio; Cantudo Cuenca, Maria-Rosa; Robustillo-Cortés, María Aguas; Borrego Izquierdo, Y; Almeida-Gonzalez, Carmen Victoria; Morillo-Verdugo, Ramón

    2016-06-01

    Objetivos: Analizar y comparar la persistencia entre las estrategias basadas en Single-Tablet Regimen (STR) y Less Drug Regimen (LDR) en pacientes VIH+. El objetivo secundario del estudio fue determinar factores predictores de persistencia. Material y métodos: Estudio observacional retrospectivo que incluyo los siguientes criterios: pacientes VIH+ con tratamiento antirretroviral (TAR) con un regimen basado en STR o LDR. Se recogieron variables demograficas, factores de riesgo de adquisicion, consumo de drogas, presencia de algun trastorno psiquiatrico y coinfeccion por el virus de la hepatitis B o C. Para comparar la persistencia entre ambas estrategias se realizo un analisis de supervivencia de Kaplan-Meir y se aplico el metodo de log-rank. Se realizo un analisis de regresion de Cox para identificar los factores predictores de persistencia. Resultados: Se incluyeron 244 pacientes, 176 con STR y 68 con LDR. El 34,1% (n = 60) de los pacientes que recibieron un regimen STR abandonaron y en el LDR el 19,1% (n = 13). Los efectos adversos fueron la principal causa de abandono del tratamiento en los pacientes que recibieron STR y el fallo virologico en el regimen LDR. La persistencia de las estrategias STR y LDR fue similar, no encontrandose diferencias estadisticamente significativas entre ambas. El consumo de drogas fue el unico factor predictivo asociado con una menor persistencia (HR = 2,59; p = 0,005). Conclusiones: La persistencia entre los regimenes STR y LDR fue similar, no detectandose diferencias significativas entre ambos. El consumo de drogas fue el unico factor independiente asociado con una menor persistencia del tratamiento antirretroviral.

  20. Antisocial behavior: Dimension or category(ies?

    Directory of Open Access Journals (Sweden)

    Biro Mikloš

    2008-01-01

    Full Text Available Classificatory systems (DSM-IV, ICD-10 use different criteria for defining a rather common antisocial disorder, traditionally referred as psychopathy. Most empirical studies of this phenomenon use Cleckley's operational definition that was applied and amended in Hare's revised Psychopathy Checklist (PCL-R. In modern literature, the fact that there is less than a perfect correspondence between classificatory systems and Hare's PCL-R is often cited as an indication that antisocial behavior is not confined to a distinct category of people but is rather a continuous personality dimension. In order to further elucidate the nosology of antisocial behaviors, a Psychopathy Assessment Questionnaire (PAQ based on Cleckley - Hare's criteria and consisting of 40 binary items was administered to 339 men (135 prisoners and 204 members of the general population. Four distinct clusters of respondents were identified by means of hierarchical cluster analysis: Psychopathic type (characterized by high positive scores on dimension of Unemotionality; Antisocial type (characterized by high positive scores on Social deviance dimension; Adapted type (characterized by negative scores on all dimensions; and Hyper-controlled type (characterized by extremely negative scores on dimension Social deviance accompanied with positive scores on Unemotionality dimension. Additional comparison with MMPI profiles which classified prison sample in two groups ("Psychopathic profiles" and "Non- Psychopathic profiles" shows that there is no expected compatibility between MMPI and PAQ. We conclude that Antisocial type can be treated as a distinct category, while Psychopathic type displays characteristics of dimensional distribution.

  1. The helpfulness of category labels in semi-supervised learning depends on category structure.

    Science.gov (United States)

    Vong, Wai Keen; Navarro, Daniel J; Perfors, Amy

    2016-02-01

    The study of semi-supervised category learning has generally focused on how additional unlabeled information with given labeled information might benefit category learning. The literature is also somewhat contradictory, sometimes appearing to show a benefit to unlabeled information and sometimes not. In this paper, we frame the problem differently, focusing on when labels might be helpful to a learner who has access to lots of unlabeled information. Using an unconstrained free-sorting categorization experiment, we show that labels are useful to participants only when the category structure is ambiguous and that people's responses are driven by the specific set of labels they see. We present an extension of Anderson's Rational Model of Categorization that captures this effect. PMID:26106058

  2. Continuous infusion cyclophosphamide and low-dose total body irradiation is a safe and effective conditioning regimen for autologous transplant in multiple myeloma.

    Science.gov (United States)

    Byrne, M; Wingard, J R; Moreb, J S

    2013-11-01

    We present the results of a novel conditioning regimen in multiple myeloma (MM) patients undergoing tandem autologous stem cell transplant (ASCT). MM patients were enrolled in a prospective phase II clinical trial. After initial ASCT, disease response was assessed by day +100. Patients achieving very good partial remission (VGPR) were offered maintenance therapy. If patients achieved VGPR, they were offered a second ASCT using continuous intravenous cyclophosphamide (CICy) 6 g/m(2) over 4 days and low-dose total body irradiation (ldTBI) 600 rads over 2 days. Total body irradiation was replaced by melphalan 140 mg/m(2) if patients had received prior radiation. Twenty-one patients received tandem ASCT. Three patients received CICy and melphalan. Median duration of neutropenia with CICy/ldTBI was 11 days. Fifteen patients (71.4%) developed febrile neutropenia while grade 1 to 2 diarrhea was the next most common adverse event (42.9%). There was no treatment-related mortality. Four patients had entered complete remission (19%) and 6 achieved VGPR (28.6%). In conclusion, this conditioning regimen is safe and effective and may be useful in patients who do not benefit from first ASCT using more traditional conditioning regimen.

  3. A comparison of twice-weekly MPD-PUVA and three times-weekly skin typing-PUVA regimens for the treatment of psoriasis

    Energy Technology Data Exchange (ETDEWEB)

    Buckley, D.A.; Rogers, S. [City of Dublin Skin and Cancer Hospital, Dublin (Ireland); Healy, E. [Royal Victoria Infirmary, Newcastle upon Tyne (United Kingdom)

    1995-09-01

    The most frequent PUVA treatment regimen in current use is three times weekly, using skin typing to estimate the starting dose. Recently, it was suggested that twice-weekly treatment, using the minimal phototoxic dose- (MPD) to calculate suberythmal starting doses of UVA, achieved similar clearance rates with fewer treatments and a lower cumulative UVA dose. We have carried out a trial on 83 patients, comparing twice-weekly MPD-PUVA with three times-weekly skin typing-PUVA, in order to test this hypothesis. Although clearance rates were comparable between the two regimens, there was no overall significant difference in the number of treatments or in the cumulative UVA doses at clearance. However, for patients with skin types I and II the cumulative UVA dose was significantly higher using the twice-weekly MPD regimen (70.OJ/cm{sup 2} vs. 55.8J/cm{sup 2}; P<0.05). Our results do not confirm that there is a reduction in cumulative UVA dosage with twice-weekly MPD-PUVA. (Author).

  4. Quasi-coherent Hecke category and Demazure descent

    DEFF Research Database (Denmark)

    Arkhipov, Sergey; Kanstrup, Tina

    2015-01-01

    Let G be a reductive algebraic group with a Borel subgroup B. We define the quasi-coherent Hecke category for the pair (G,B). For any regular Noetherian G- scheme X we construct a monoidal action of the Hecke category on the derived category of B-equivariant quasi-coherent sheaves on X. Using...... the action we define the Demazure Descent Data on the latter category and prove that the Descent category is equivalent to the derived category of G-equivariant sheaves on X....

  5. Local recurrence, rate and sites of metastases, and time to relapse as a function of treatment regimen, size of primary and surgical history in 62 patients presenting with non-metastatic Ewing's sarcoma of the pelvic bones

    International Nuclear Information System (INIS)

    This report reviews the experience of 62 patients who presented between 1972 and 1978 with non-metastatic Ewing's sarcoma of the pelvis and were entered on IESS I. Seventeen patients (27%) developed a local recurrence, 38 patients (61%) demonstrated metastases and 21 (34%) neither. In the dose range 4000 rad to 6000 rad no dose response could be detected for local control of tumor. Forty-six patients (74%) had a biopsy or exploratory surgery only, 5 patients (8%) had an incomplete resection and 11 patients (18%) has a complete resection of their tumor. In the 46 patients having a biopsy only, 13 developed a local recurrence (28%) as compared to 2 of 11 patients undergoing a complete resection (18%). The most common sites for metastases were lung in 19 patients (31%) and bone in 23 patients (37%). No significant difference was noted in the frequency of overall metastases or metastases to any site between those patients receiving one of the three treatment regimens used in IESS I: VAC and Adriamycin (regime I), VAC alone (regimen II) and VAC plus bilateral pulmonary irradiation (regimen III). At a median follow-up of 135 weeks no significant difference in median survival could be detected in patients with pelvic primaries between regimens I, II and III. The possible reasons for the poor prognosis of pelvic primary patients are discussed together with treatment policies that might improve the survival of this group of patients

  6. Nel's category theory based differential and integral Calculus, or did Newton know category theory ?

    OpenAIRE

    Rosinger, Elemer Elad

    2005-01-01

    In a series of publications in the early 1990s, L D Nel set up a study of non-normable topological vector spaces based on methods in category theory. One of the important results showed that the classical operations of derivative and integral in Calculus can in fact be obtained by a rather simple construction in categories. Here we present this result in a concise form. It is important to note that the respective differentiation does not lead to any so called generalized derivatives, for inst...

  7. Varying efficacy of Helicobacter pylori eradication regimens: cost effectiveness study using a decision analysis model

    OpenAIRE

    Duggan, A E; Tolley, K.; Hawkey, C. J.; Logan, R F A

    1998-01-01

    Objective: To determine how small differences in the efficacy and cost of two antibiotic regimens to eradicate Helicobacter pylori can affect the overall cost effectiveness of H pylori eradication in duodenal ulcer disease.

  8. Cost description of chemotherapy regimens for the treatment of metastatic pancreas cancer.

    Science.gov (United States)

    Goldstein, Daniel A; Krishna, Kavya; Flowers, Christopher R; El-Rayes, Bassel F; Bekaii-Saab, Tanios; Noonan, Anne M

    2016-05-01

    Multiple chemotherapy regimens are available for the treatment of metastatic pancreas cancer (mPCA). Choice of regimen is based on the patient's performance status and toxicity profile of the regimen. The objective of this study was to analyze the costs of first-line regimens to further aid in decision-making and develop a platform upon which to assess value. We calculated the monthly cost for individual standard regimens (gemcitabine, gemcitabine/nab-paclitaxel, gemcitabine/erlotinib and FOLFIRINOX) and the overall treatment cost for a course of therapy based on the median progression-free survival achieved in published studies. In addition to cost of drugs, we included administration costs and costs of toxicities (including growth factor support, blood product transfusion and hospitalization for toxicities). Costs for administration and management of adverse events were based on Medicare reimbursement rates for hospital and physician services. Drug costs were based on Medicare average sale prices (all 2014 US$). The monthly costs for gemcitabine, FOLFIRINOX, gemcitabine/erlotinib and gemcitabine/nab-paclitaxel were $1363, $7234, $8007 and $12,221, respectively. The overall treatment costs for a course of the same regimens based on median PFS were $5043, $46,298, $51,004 and $67,216, respectively. The choice of chemotherapy regimen for mPCA should be based on tolerability and efficacy of the regimen individualized to patient's performance status. Healthcare systems have finite resources; thus, there is increasing emphasis on metrics to define value in health care when outcomes of therapy are similar or produce marked differences in value. These data provide useful financial information to incorporate into the decision-making process. PMID:27067436

  9. Novel Kivexa-based regimens in early courses of treatment for HIV infection

    OpenAIRE

    Conway, B; Alenezi, O; Wong, L; Wang, J.; Qian, C; H Tossonian

    2012-01-01

    Background: As the long-term efficacy of antiretroviral therapy regimens is confirmed, we need to identify additional combinations with long-term safety and potency, while also favoring simplicity of administration. In this light, we have undertaken a review of the use of abacavir/lamivudine (Kivexa, KVX)-based regimens using integrase or CCR5 inhibitors as the third agent. Methods: A retrospective chart review was undertaken, with informed patient consent. We identified all the patients in w...

  10. Effective Antimicrobial Regimens for Use in Humans for Therapy of Bacillus anthracis Infections and Postexposure Prophylaxis†

    OpenAIRE

    Deziel, Mark R.; Heine, Henry; Louie, Arnold; Kao, Mark; Byrne, William R.; Basset, Jennifer; Miller, Lynda; Bush, Karen; Kelly, Michael; Drusano, G L

    2005-01-01

    Expanded options for treatments directed against pathogens that can be used for bioterrorism are urgently needed. Treatment regimens directed against such pathogens can be identified only by using data derived from in vitro and animal studies. It is crucial that these studies reliably predict the efficacy of proposed treatments in humans. The objective of this study was to identify a levofloxacin treatment regimen that will serve as an effective therapy for Bacillus anthracis infections and p...

  11. Experience with a novel efalizumab-based immunosuppressive regimen to facilitate single donor islet cell transplantation

    OpenAIRE

    Turgeon, NA; Avila, JG; Cano, JA; Hutchinson, JJ; Badell, IR; Page, AJ; Adams, AB; Sears, MH; Bowen, PH; Kirk, AD; Pearson, TC; Larsen, CP

    2010-01-01

    Islet transplantation is an experimental therapy for selected patients with type 1-diabetes (T1DM). It remains limited by immunosuppressive drug toxicity, progressive loss of insulin independence, allosensitization, and the need for multiple islet donors. We describe our experience with an efalizumab-based immunosuppressive regimen as compared to the prevailing standard regimen, the Edmonton protocol. Twelve patients with T1DM received islet transplants: 8 were treated with the Edmonton proto...

  12. Evaluation of various gentamicin dosage regimens in geriatric patients: a simulation study.

    Science.gov (United States)

    Bourguignon, Laurent; Goutelle, Sylvain; De Saint-Martin, Julie Burdin; Maire, Pascal; Ducher, Michel

    2010-02-01

    The aim of this simulation study was to evaluate the ability of three regimens proposed in official French recommendations for gentamicin to hit defined pharmacokinetic (PK) and pharmacodynamic targets in a population of elderly patients. The first drug regimen tested consisted of a loading dose of 1 mg/kg and a maintenance dose weighted by creatininemia, every 8 h. The second regimen consisted of a fixed dose of 1 mg/kg at various intervals of time, calculated from creatinine clearance. The last regimen was a fixed dose of 3 mg/kg once a day. All regimens were for 5 days. We used a bicompartmental PK model and implemented a Monte Carlo simulation to generate a large sample of geriatric subjects. The analysis examined three ranges of creatinine clearance. Simulations showed that for the two regimens using multiple doses per day, neither was able to reach an efficacy level without significant toxicity after 5 days of treatment, regardless of the level of renal function. The use of creatininemia or creatinine clearance to adjust the drug dose did not alter these findings. The once-a-day dosing regimen gave better results both in efficacy and toxicity, except for patients with creatinine clearance lower than 60 mL/min, where the incidence of potential toxicity was above 25%. These results strongly suggest that official French recommendations about aminoglycoside dosage regimens in elderly patients with renal impairment should be updated, and that the frequent need for therapeutic drug monitoring and dosage individualization should be clearly stated.

  13. Kidney injury associated with telavancin dosing regimen in an animal model.

    Science.gov (United States)

    Tam, Vincent H; Ledesma, Kimberly R; Bowers, Dana R; Zhou, Jian; Truong, Luan D

    2015-05-01

    The elevation of serum creatinine levels is a concern with telavancin therapy. We examined the onset of kidney injury associated with telavancin in an animal model. Urine samples were collected at baseline and daily to determine the concentrations of kidney injury molecule 1 (KIM-1), a marker for early kidney injury. When a clinically relevant exposure of telavancin was given daily to rats, some differences in kidney injury were attributed to the dosing regimen. Further investigations of alternative telavancin dosing regimens are warranted.

  14. PHARMACOECONOMIC ASSESSMENT OF USING INTERFERON-FREE REGIMENS FOR CHRONIC HEPATITIS C AFTER LIVER TRANSPLANTATION

    OpenAIRE

    A. A. Sukhoruk; E. V. Esaulenko

    2016-01-01

    This article contains analysis of current combination treatment regimens for chronic hepatitis C after liver transplantation. Antiviral therapy with long-acting interferons and ribavirin is of low efficiency and high costs. The clinical and economic benefits of interferon-free treatment regimen for patients infected with genotype 1 HCV using dasabuvir, paritaprevir boosted with ritonavir, ombitasvir (Viekira Pak) and ribavirin have been shown. Registration and introduction into clinical pract...

  15. Sacrality and worldmaking: new categorial perspectives

    Directory of Open Access Journals (Sweden)

    William E. Paden

    1999-01-01

    Full Text Available The category of the sacred in particular and the role of transcultural concept-formation in general have undergone an obvious crisis. For the most part, "the sacred," if not an empty label, has been linked with theologism, and transcultural concepts have been condemned for their general non-comparability and colonialist intent. The author approaches the matter of transcultural templates through an analysis of certain concepts of sacrality. With some exceptions, the discourse of sacrality has indeed been dominated by a single model, where "the sacred" became a reified noun—a substantive term for a supernatural reality, a label for the transcendent, or even an epithet for divinity, mystery, the wholly other. As such, the expression has functioned to bestow a sense of unity to the diversity of cultures, link that unity with a transcendent reality, and offer a simple way of making sense of otherwise foreign beliefs and practices by giving them a familiar, generic referent.

  16. Introduction to Categories and Categorical Logic

    CERN Document Server

    Abramsky, Samson

    2011-01-01

    The aim of these notes is to provide a succinct, accessible introduction to some of the basic ideas of category theory and categorical logic. The notes are based on a lecture course given at Oxford over the past few years. They contain numerous exercises, and hopefully will prove useful for self-study by those seeking a first introduction to the subject, with fairly minimal prerequisites. The coverage is by no means comprehensive, but should provide a good basis for further study; a guide to further reading is included. The main prerequisite is a basic familiarity with the elements of discrete mathematics: sets, relations and functions. An Appendix contains a summary of what we will need, and it may be useful to review this first. In addition, some prior exposure to abstract algebra - vector spaces and linear maps, or groups and group homomorphisms - would be helpful.

  17. Housekeeping category corrective action unit work plan

    International Nuclear Information System (INIS)

    The purpose of this Corrective Action Unit (CAU) Work Plan is to provide a strategy to be used by the US Department of Energy Nevada Operations Office (DOE/NV), the US Department of Defense (DoD) Defense Special Weapons Agency (DSWA) (formerly the Defense Nuclear Agency), and contractor personnel for conducting corrective actions at the Nevada Test Site (NTS) and Nevada off-site locations including the Tonopah Test Range (TTR), the Project Shoal Area, and the Central Nevada Test Area. This Work Plan applies to housekeeping category CAUs already listed in the Federal Facility Agreement and Consent Order (FFACO) Appendices (FFACO, 1996) as well as newly identified Corrective Action Sites (CASs) that will follow the housekeeping process

  18. Algebraic Theories and (Infinity,1)-Categories

    Science.gov (United States)

    Cranch, James

    2010-11-01

    We adapt the classical framework of algebraic theories to work in the setting of (infinity,1)-categories developed by Joyal and Lurie. This gives a suitable approach for describing highly structured objects from homotopy theory. A central example, treated at length, is the theory of E_infinity spaces: this has a tidy combinatorial description in terms of span diagrams of finite sets. We introduce a theory of distributive laws, allowing us to describe objects with two distributing E_infinity stuctures. From this we produce a theory of E_infinity ring spaces. We also study grouplike objects, and produce theories modelling infinite loop spaces (or connective spectra), and infinite loop spaces with coherent multiplicative structure (or connective ring spectra). We use this to construct the units of a grouplike E_infinity ring space in a natural manner. Lastly we provide a speculative pleasant description of the K-theory of monoidal quasicategories and quasicategories with ring-like structures.

  19. A Category Theoretic Model of RDF Ontology

    Directory of Open Access Journals (Sweden)

    S. Aliyu

    2015-07-01

    Full Text Available Ontology languages are used in modelling the semantics of concepts within a particular domain and the relationships between those concepts. The Semantic Web standard provides a number of modelling languages that differ in their level of expressivity and are organized in a Semantic Web Stack in such a way that each language level builds on the expressivity of the other. There are several problems when one attempts to use independently developed ontologies. When existing ontologies are adapted for new purposes it requires that certain operations are performed on them. These operations are currently performed in a semi-automated manner. This paper seeks to model categorically the syntax and semantics of RDF ontology as a step towards the formalization of ontological operations using category theory.

  20. A preliminary evaluation of comparative effectiveness of riluzole in therapeutic regimen for irritable bowel syndrome

    Institute of Scientific and Technical Information of China (English)

    Surya Prakash Mishra; Sunit Kumar Shukla; Bajrang Lal Pandey

    2014-01-01

    Objective: To develop agents that are specifically effective in controlling the key disturbance of visceral hyperalgesia besides abating of associated multiple symptoms, and evaluate comparative effectiveness for IBS symptom relief for standard regimen (antispasmodic and probiotic) and add-on amitriptyine or riluzole regimens following two weeks administration.Methods:groups were studied. First group received standard treatment (mebeverine 200 mg twice daily and probiotic 200 mg twice daily). Second group received add-on amitriptyline 25 mg before bedtime, while the third group got add-on riluzole 50 mg twice daily. Overall gastrointestinal symptom rating scale improving symptoms and hospital anxiety depression scale improving associated psychological morbidity were employed as measures at induction and at two-week follow-up period. Individual symptom scores were also examined to define the outcome profiles.Results:108 patients with visceral hypersensitivity accompanying IBS, divided into three rating scale score, not the other two regimens. Pain relief was seen with both riluzole and amitriptyline regimens significantly superior to standard treatment regimen, but riluzole effect appeared specific and independent anxiolytic effect. Amitriptyline caused relief in diarrhea and did not benefit in constipation point to non-specific remedial role in IBS. Riluzole regimen resulted in significant reduction of overall gastrointestinal symptom Conclusions: Riluzole specifically relieves visceral hypersensitivity and is proved to be superior to current treatments in IBS patients. It appears a lead remedy based on glutamate transporter mechanisms in visceral hypersensititvity.

  1. Cohomology of exact categories and (non-)additive sheaves

    CERN Document Server

    Kaledin, Dmitry

    2011-01-01

    We use (non-)additive sheaves to introduce an (absolute) notion of Hochschild cohomology for exact categories as Ext's in a suitable bisheaf category. We compare our approach to various definitions present in the literature.

  2. 12 CFR 565.3 - Notice of capital category.

    Science.gov (United States)

    2010-01-01

    ... association shall be deemed to be within a given capital category for purposes of section 38 of the FDI Act... FDI Act and this part or that the savings association's capital category has changed as provided...

  3. 12 CFR 208.42 - Notice of capital category.

    Science.gov (United States)

    2010-01-01

    ... member bank shall be deemed to be within a given capital category for purposes of section 38 of the FDI... Board to the bank of its capital category for purposes of section 38 of the FDI Act and this subpart...

  4. 77 FR 72653 - Designation of Product Categories for Federal Procurement

    Science.gov (United States)

    2012-12-05

    ..., uses and/or different performance specifications. For example, within the product category ``hand... category that have different characteristics or that meet different performance specifications and, where... may know that there are different performance specifications that metal cleaners and corrosion...

  5. Category Labels Induce Boundary-Dependent Perceptual Warping in Learned Speech Categories

    Science.gov (United States)

    Swan, Kristen; Myers, Emily

    2013-01-01

    Adults tend to perceive speech sounds from their native language as members of distinct and stable categories; however, they fail to perceive differences between many non-native speech sounds without a great deal of training. The present study investigates the effects of categorization training on adults' ability to discriminate non-native…

  6. Thalidomide-based induction regimens are as effective as bortezomib-based regimens in elderly patients with multiple myeloma with cereblon expression.

    Science.gov (United States)

    Jung, Sung-Hoon; Choi, Hyun-Jung; Shin, Myung-Geun; Lee, Seung-Shin; Hwang, Eu Chang; Jung, Tae-Young; Cho, Min-Seok; Yang, Deok-Hwan; Ahn, Jae-Sook; Kim, Yeo-Kyeoung; Kim, Hyeoung-Joon; Lee, Je-Jung

    2016-10-01

    Cereblon (CRBN) has been identified as a primary target of immunomodulatory drugs and is considered a biomarker for the prediction of outcomes after thalidomide- or lenalidomide-based treatments. In this study, we evaluated CRBN expression in bone marrow (BM) tissue at diagnosis and investigated the relationship between CRBN expression and treatment outcomes after thalidomide- or bortezomib-based front-line therapies in 89 elderly patients with multiple myeloma (MM). CRBN expression at the time of diagnosis was evaluated with immunohistochemical (IHC) staining for myeloma cells in paraffin wax-embedded BM tissue. CRBN-immunostained slides were scored by intensity and diffuseness, and a total score of >6 was defined as CRBN-positive (CRBN(+)). Thirty-eight patients (45.2 %) were CRBN(+). Among patients treated with thalidomide-based regimens, CRBN(+) patients showed a better treatment response than did CRBN-negative patients (35.0 vs. 11.8 % complete response rate, respectively; HR = 4.038, P = 0.137). During a median follow-up of 31.8 months, patients treated with bortezomib-based regimens had a longer time to progression (TTP) than did patients treated with thalidomide-based regimens (15.6 vs. 13.2 months, respectively; P = 0.047), but early mortality occurred frequently in patients treated with bortezomib-based regimens. Additionally, there was no significant difference in survival outcomes between thalidomide- and bortezomib-based regimens in CRBN(+) patients (median TTP, 13.8 vs. 15.6 months, respectively; P = 0.842 and median OS, 39.3 vs. 30.1 months, respectively; P = 0.074). These data suggest that thalidomide-based regimens are as effective as bortezomib-based regimens in elderly patients with MM who are CRBN(+). Thus, CRBN positivity, by IHC staining, may be useful in deciding appropriate treatment options in elderly patients with MM. PMID:27365142

  7. Mere Exposure Alters Category Learning of Novel Objects

    OpenAIRE

    Folstein, Jonathan R.; Gauthier, Isabel; Palmeri, Thomas J.

    2010-01-01

    We investigated how mere exposure to complex objects with correlated or uncorrelated object features affects later category learning of new objects not seen during exposure. Correlations among pre-exposed object dimensions influenced later category learning. Unlike other published studies, the collection of pre-exposed objects provided no information regarding the categories to be learned, ruling out unsupervised or incidental category learning during pre-exposure. Instead, results are interp...

  8. Mere exposure alters category learning of novel objects

    OpenAIRE

    ThomasJPalmeri

    2010-01-01

    We investigated how mere exposure to complex objects with correlated or uncorrelated object features affects later category learning of new objects not seen during exposure. Correlations among pre-exposed object dimensions influenced later category learning. Unlike other published studies, the collection of pre-exposed objects provided no information regarding the categories to be learned, ruling out unsupervised or incidental category learning during pre-exposure. Instead, results are interp...

  9. Category and Perceptual Learning in Subjects with Treated Wilson's Disease

    OpenAIRE

    Xu, Pengjing; Lu, Zhong-Lin; Wang, Xiaoping; Dosher, Barbara; Zhou, Jiangning; Zhang, Daren; Zhou, Yifeng

    2010-01-01

    To explore the relationship between category and perceptual learning, we examined both category and perceptual learning in patients with treated Wilson's disease (WD), whose basal ganglia, known to be important in category learning, were damaged by the disease. We measured their learning rate and accuracy in rule-based and information-integration category learning, and magnitudes of perceptual learning in a wide range of external noise conditions, and compared the results with those of normal...

  10. Single Multiplex PCR Assay To Identify Simultaneously the Six Categories of Diarrheagenic Escherichia coli Associated with Enteric Infections

    Science.gov (United States)

    Vidal, Maricel; Kruger, Eileen; Durán, Claudia; Lagos, Rosanna; Levine, Myron; Prado, Valeria; Toro, Cecilia; Vidal, Roberto

    2005-01-01

    We designed a multiplex PCR for the detection of all categories of diarrheagenic Escherichia coli. This method proved to be specific and rapid in detecting virulence genes from Shiga toxin-producing (stx1, stx2, and eae), enteropathogenic (eae and bfp), enterotoxigenic (stII and lt), enteroinvasive (virF and ipaH), enteroaggregative (aafII), and diffuse adherent (daaE) Escherichia coli in stool samples. PMID:16208019

  11. Weakly globular Tamsamani N-categories and their rigidification

    OpenAIRE

    Paoli, Simona

    2016-01-01

    We introduce a new class of higher categorical structures called weakly globular Tamsamani n-categories. These generalize the Tamsamani-Simpson model of higher categories by using the new paradigm of weak globularity to weaken higher categorical structures. We prove this new structure is suitably equivalent to a simpler one previously introduced by the author, called weakly globular n-fold categories.

  12. 14 CFR 61.159 - Aeronautical experience: Airplane category rating.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 2 2010-01-01 2010-01-01 false Aeronautical experience: Airplane category... Transport Pilots § 61.159 Aeronautical experience: Airplane category rating. (a) Except as provided in... certificate with an airplane category and class rating must have at least 1,500 hours of total time as a...

  13. Induction from a Single Instance: Formation of a Novel Category.

    Science.gov (United States)

    Macario, Jason F.; And Others

    1990-01-01

    Preschoolers were shown three objects in a given category. Each object had two attribute dimensions. A target category object with two different attributes was presented. Information provided to the children through verbal labeling or variations in a given category attribute both elicited induction of the defining attribute in the novel target…

  14. 14 CFR 29.59 - Takeoff path: Category A.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Takeoff path: Category A. 29.59 Section 29... AIRWORTHINESS STANDARDS: TRANSPORT CATEGORY ROTORCRAFT Flight Performance § 29.59 Takeoff path: Category A. (a) The takeoff path extends from the point of commencement of the takeoff procedure to a point at...

  15. Creating Temporal Categories for an Ontology of Time

    NARCIS (Netherlands)

    De Beule, Joachim

    2005-01-01

    A mechanism is described that enables a robotic agent to create temporal categories for conceptualizing the world. The creation of a new category is triggered when the agent is unable to temporally distinguish an event from the other events in the context using already adopted categories. This is di

  16. 14 CFR 91.325 - Primary category aircraft: Operating limitations.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 2 2010-01-01 2010-01-01 false Primary category aircraft: Operating... Flight Operations § 91.325 Primary category aircraft: Operating limitations. (a) No person may operate a primary category aircraft carrying persons or property for compensation or hire. (b) No person may...

  17. Contribution of the nitroimidazoles PA-824 and TBA-354 to the activity of novel regimens in murine models of tuberculosis.

    Science.gov (United States)

    Tasneen, Rokeya; Williams, Kathy; Amoabeng, Opokua; Minkowski, Austin; Mdluli, Khisimuzi E; Upton, Anna M; Nuermberger, Eric L

    2015-01-01

    New regimens based on two or more novel agents are sought in order to shorten or simplify the treatment of both drug-susceptible and drug-resistant forms of tuberculosis. PA-824 is a nitroimidazo-oxazine now in phase II trials and has shown significant early bactericidal activity alone and in combination with the newly approved agent bedaquiline or with pyrazinamide with or without moxifloxacin. While the development of PA-824 continues, a potential next-generation derivative, TBA-354, has been discovered to have in vitro potency superior to that of PA-824 and greater metabolic stability than that of the other nitroimidazole derivative in clinical development, delamanid. In the present study, we compared the activities of PA-824 and TBA-354 as monotherapies in murine models of the initial intensive and continuation phases of treatment, as well as in combination with bedaquiline plus pyrazinamide, sutezolid, and/or clofazimine. The monotherapy studies demonstrated that TBA-354 is 5 to 10 times more potent than PA-824, but selected mutants are cross-resistant to PA-824 and delamanid. The combination studies revealed that TBA-354 is 2 to 4 times more potent than PA-824 when combined with bedaquiline, and when administered at a dose equivalent to that of PA-824, TBA-354 demonstrated superior sterilizing efficacy. Perhaps most importantly, the addition of either nitroimidazole significantly improved the sterilizing activities of bedaquiline and sutezolid, with or without pyrazinamide, confirming the value of each agent in this potentially universally active short-course regimen. PMID:25331697

  18. IMMUNE RESPONSE AND COST ANALYSIS OF INTRADERMAL RABIES VACCINATION FOR POST-EXPOSURE PROPHYLAXIS REGIMEN IN HUMAN

    Directory of Open Access Journals (Sweden)

    N. S. Budayanti

    2014-01-01

    Full Text Available BackgroundThe outbreak of rabies in human in Bali-Indonesia is causing an extraordinary pressure for the government in providing adequate doses of anti-rabies vaccine for post-exposure prophylaxis (PEP. Here, we directly compare the immune response and benefit of the intradermal (ID protocol for rabies vaccine delivery with the intramuscular (IM route. Methods: Sixty health workers who were willing to participate in this study have been randomly selected and grouped into ID, IM, and control groups, each with 20 volunteers. The Thai Red Cross ID- and Zangreb IM-protocols have been applied to the respective group. The sera of the volunteers were collected at day 0, week 1, week 3, week 4, month 3, month 6, month 9, and month 12 after the first vaccination. Anti-rabies virus IgG was detected using PlateliaTM Rabies II Kit (Bio-Rad. Results: Anti-rabies IgG could be detected in the ID-group at one week. The ID-vaccine delivery induced a slightly higher maximum antibody titer compared to IM, though not statistically significant (p>0.05. ID vaccination caused less adverse reactions and produces longer lasting protective immune response.  Cost minimization analysis (CMA on the provincial and national PEP data in 2009-2011 shows that the ID-delivery will reduce the total cost for a completed regimen by USD 28.5, and would have saved the Indonesian government budget approximately USD 3.6 and 4.3 million for complete regimens in Bali and Indonesia, respectively. Conclusion: The ID administration of anti-rabies vaccine induces a similar immune response compared to that of intramuscular injection. It also produces longer lasting protective immune response. It offers additional advantages of potential net cost savings as well as decreasing the pressure on vaccine availability due to the high number of dog bite cases.

  19. Cost Effectiveness in Canada of a Multidrug Prepackaged Regimen (Hp-PAC(R)) Use of tradenames is for product identification only and does not imply endorsement. for Helicobacter pylori Eradication

    OpenAIRE

    Karen Agro; Gordon Blackhouse; Ron Goeree; Willan, Andrew R; Jia-Qing Huang; Hunt, Richard H; Bernie J. O'Brien

    2001-01-01

    Objective: To assess the cost effectiveness of a multidrug prepackaged regimen for Helicobacter pylori, the Hp-PAC(R) (lansoprazole 30mg, clarithromycin 500mg, amoxicillin 1g, all twice daily), relative to alternative pharmacological strategies in the management of confirmed duodenal ulcer over a 1-year period from 2 perspectives: (i) a strict healthcare payer perspective (Ontario Ministry of Health) excluding the patient copayment; and (ii) a healthcare payer perspective including the patien...

  20. The de Rham homotopy theory and differential graded category

    CERN Document Server

    Moriya, Syunji

    2009-01-01

    This paper is a generalization of arXiv:0810.0808. We develop the de Rham homotopy theory of not necessarily nilpotent spaces, using closed dg-categories and equivariant dg-algebras. We see these two algebraic objects correspond in a certain way. We prove an equivalence between the homotopy category of schematic homotopy types and a homotopy category of closed dg-categories. We give a description of homotopy invariants of spaces in terms of minimal models. The minimal model in this context behaves much like the Sullivan's minimal model. We also provide some examples. We prove an equivalence between fiberwise rationalizations and closed dg-categories with subsidiary data.

  1. Outcome after Transplantation According to Reduced-Intensity Conditioning Regimen in Patients Undergoing Transplantation for Myelofibrosis.

    Science.gov (United States)

    Robin, Marie; Porcher, Raphael; Wolschke, Christine; Sicre de Fontbrune, Flore; Alchalby, Haefaa; Christopeit, Maximilian; Cassinat, Bruno; Zabelina, Tatjana; Peffault de Latour, Régis; Ayuk, Francis; Socié, Gérard; Kröger, Nicolaus

    2016-07-01

    Allogeneic hematopoietic stem cell transplantation remains the sole curative option for myelofibrosis. Many transplantation recipients receive a reduced-intensity conditioning (RIC) regimen owing to age or comorbidities; however, there is little published evidence to guide the choice of RIC regimen. In this study, we compared outcomes in patients who received 1 of 2 frequently used RIC regimens for patients with myelofibrosis: fludarabine-busulfan (FB) and fludarabine-melphalan (FM). A total of 160 patients underwent a RIC allograft procedure (FB group, n = 105; FM group, n = 55). We have developed a complex statistical model involving weighting and adjustment to permit comparison between these 2 groups. After weighting, the incidence of acute graft-versus-host disease (GVHD) was 62% in the FM group and 31% in the FB group (P = .001), and the corresponding incidence of chronic GVHD was 49% and 53%, respectively. The 7-year progression-free survival was were 52% in the FM group versus 33% in the FB group, and the 7-year overall survival rate 52% in the FM group versus 59% in the FB group. Nonrelapse mortality (NRM) was 43% in the FM group and 31% in the FB group. Multivariable analyses revealed no significant differences in PFS between the 2 groups; however, the relapse rate was significantly lower in the FM group (hazard ratio, 9.21; P = .008), whereas a trend toward reduced NRM was seen in the FB group (hazard ratio, 0.51; P = .068). In conclusion, both regimens appear to be efficient in mediating disease control and can be used to successfully condition patients with myelofibrosis. The FM regimen appears to induce more NRM than the FB regimen, but with augmented control of disease, leading to comparable overall survival rates for both regimens.

  2. Classifying insulin regimens--difficulties and proposal for comprehensive new definitions.

    Science.gov (United States)

    Neu, A; Lange, K; Barrett, T; Cameron, F; Dorchy, H; Hoey, H; Jarosz-Chobot, P; Mortensen, H B; Robert, J-J; Robertson, K; de Beaufort, C

    2015-09-01

    Modern insulin regimens for the treatment of type 1 diabetes are highly individualized. The concept of an individually tailored medicine accounts for a broad variety of different insulin regimens applied. Despite clear recommendations for insulin management in children and adolescents with type 1 diabetes there is little distinctiveness about concepts and the nomenclature is confusing. Even among experts similar terms are used for different strategies. The aim of our review--based on the experiences of the Hvidoere Study Group (HSG)--is to propose comprehensive definitions for current insulin regimens reflecting current diabetes management in childhood and adolescence. The HSG--founded in 1994--is an international group representing 24 highly experienced pediatric diabetes centers, from Europe, Japan, North America and Australia. Different benchmarking studies of the HSG revealed a broad variety of insulin regimens applied in each center, respectively. Furthermore, the understanding of insulin regimens has been persistently different between the centers since more than 20 yr. Not even the terms 'conventional' and 'intensified therapy' were used consistently among all members. Besides the concepts 'conventional' and 'intensified', several other terms for the characterization of insulin regimens are in use: Basal Bolus Concept (BBC), multiple daily injections (MDI), and flexible insulin therapy (FIT) are most frequently used, although none of these expressions is clearly or consistently defined. The proposed new classification for insulin management will be comprehensive, simple, and catchy. Currently available terms were included. This classification may offer the opportunity to compare therapeutic strategies without the currently existing confusion on the insulin regimen.

  3. Hematopoietic stem cell transplantation with conditioning regimens containing melphalan in pediatric patients with acute lymphoblastic leukemia

    Energy Technology Data Exchange (ETDEWEB)

    Matsuyama, Takaharu; Kato, Koji [Nagoya First Red Cross Hospital (Japan). Children' s Medical Center; Hanada, Ryoji [Saitama Children' s Medical Center, Iwatsuki (Japan)] [and others

    2002-07-01

    A multicenter comparative study was carried out to investigate the efficacy and safety of hematopoietic stem cell transplantation with conditioning regimens containing melphalan in pediatric patients with acute lymphoblastic leukemia. One hundred twenty three patients at a variety of remission stages were eligible for study participation. Eighty-nine were transplanted with allogeneic grafts and 34 patients with autologous grafts (23 cases with bone marrow and 11 cases with peripheral blood stem cells). Conditioning regimens used were as follows: melphalan and busulfan for 40 patients, melphalan, busulfan and TBI for 44 patients, other regimens for 39 patients. To accelerate engraftment G-CSF (lenograstim) was administered as a 1-hour or 24-hour drip infusion daily at 5 {mu}g/kg from day 5 until hematological recovery. The five year disease free survival (DFS) was 63% for 42 patients at CR1, 41% for 41 patients at CR2 and 33% for 40 patients at other stages. There was no significant difference in the DFS between allogeneic-transplantation and autologous-transplantation in all disease stages. In patients at remission stage for CR1 and CR2, the 5-year DFS by conditioning regimen was 63% for regimen with melphalan and busulfan, 54% for regimen with melphalan, busulfan and TBI and 54% for regimens with melphalan and TBI. There was no significant difference in the DFS between the groups. Serious complications such as renal failure were observed in 11%, veno-occlusive disease in 9%, and interstitial pneumonia in 9%. The most dominating cause of death was relapse in the disease (48% of deaths) which was most commonly observed in autologous transplantation. Contrary to that, treatment related toxic death was the most frequent cause of deaths in allogeneic-transplantation. (author)

  4. HER2 over-expression and response to different chemotherapy regimens in breast cancer

    Institute of Scientific and Technical Information of China (English)

    Jin ZHANG; Yan LIU

    2008-01-01

    Purpose: To exam the relationship between HER2 over-expression and different adjuvant chemotherapies in breast cancer. Patients and Methods: A total of 1625 primary breast cancer patients who received post-surgery adjuvant chemotherapy in Tianjin Cancer Hospital, China, from July 2002 to November 2005 were included in the study. Among them, 600 patients were given CMF (CTX+MTX+5-Fu) regimen, 600 given CEF (CTX+E-ADM+5-Fu) regimen, and 425 given anthracyclines plus taxanes regimen, with mean follow-up time of 42 months. Results: In CMF treatment group, the 3-year disease free survival (DFS)in HER2 over-expressed patients was lower than that of the HER2-negative ones (89.80% vs 91.24%, P=0.0348); in node-positive subgroup, the 3-year DFS was 84.72% in HER2 over-expressed patients, and 90.18% in the HER-2-negative ones (P=0.0271).Compared to CMF regimen, anthracyclines and anthracyclines plus taxanes regimens are more effective (P<0.05) in node-positive HER2 over-expression than those in the node-negative. Conclusion: HER2 over-expression is an independent index for predicting poor prognosis and short DFS for breast cancer patients. HER2 over-expressed patients are resistant to CMF regimen chemotherapy, but sensitive to anthracyclines-based or anthracyclines plus taxanes regimen. HER2 expression can be taken as a marker for therapies in breast cancer.

  5. Licensing system for primary category radioactive installations

    International Nuclear Information System (INIS)

    The development of a licensing system for primary category radioactive installations is described, which aims to satisfy the needs of the Chilean Nuclear Energy Commission's Department of Nuclear and Radiological Safety, particularly the sections for Licensing Outside Radioactive Installations and Safety Control. This system involves the identification, control and inspection of the installations, their personnel and connected activities, for the purpose of protecting the population's health and the environment. Following the basic cycle methodology, a systems analysis and engineering stage was prepared, establishing the functions of the system's elements and defining the requirements, based on interviews with the users. This stage was followed by the design stage, focusing on the data structure, the software architecture and the procedural detail. The codification stage followed, which translated the design into legible machine-readable format. In the testing stage, the entries that were defined were proven to produce the expected data. Finally and operational and maintenance stage was developed, when the system was installed and put to use. All the above generated a useful system for the Licensing section of the Department of Nuclear and Radiological Safety, since it provides faster and easier access to information. A project is described that introduces new development tools in the Computer department following standards established by the C.CH.E.N. (author)

  6. Conciliating neuroscience and phenomenology via category theory.

    Science.gov (United States)

    Ehresmann, Andrée C; Gomez-Ramirez, Jaime

    2015-12-01

    The paper discusses how neural and mental processes correlate for developing cognitive abilities like memory or spatial representation and allowing the emergence of higher cognitive processes up to embodied cognition, consciousness and creativity. It is done via the presentation of MENS (for Memory Evolutive Neural System), a mathematical methodology, based on category theory, which encompasses the neural and mental systems and analyzes their dynamics in the process of 'becoming'. Using the categorical notion of a colimit, it describes the generation of mental objects through the iterative binding of distributed synchronous assemblies of neurons, and presents a new rationale of spatial representation in the hippocampus (Gómez-Ramirez and Sanz, 2011). An important result is that the degeneracy of the neural code (Edelman, 1989) is the property allowing for the formation of mental objects and cognitive processes of increasing complexity order, with multiple neuronal realizabilities; it is essential "to explain certain empirical phenomena like productivity and systematicity of thought and thinking (Aydede 2010)". Rather than restricting the discourse to linguistics or philosophy of mind, the formal methods used in MENS lead to precise notions of Compositionality, Productivity and Systematicity, which overcome the dichotomic debate of classicism vs. connectionism and their multiple facets. It also allows developing the naturalized phenomenology approach asked for by Varela (1996) which "seeks articulations by mutual constraints between phenomena present in experience and the correlative field of phenomena established by the cognitive sciences", while avoiding their pitfalls. PMID:26193173

  7. Influence of emotionally charged information on category-based induction.

    Directory of Open Access Journals (Sweden)

    Jennifer Zhu

    Full Text Available Categories help us make predictions, or inductions, about new objects. However, we cannot always be certain that a novel object belongs to the category we are using to make predictions. In such cases, people should use multiple categories to make inductions. Past research finds that people often use only the most likely category to make inductions, even if it is not certain. In two experiments, subjects read stories and answered questions about items whose categorization was uncertain. In Experiment 1, the less likely category was either emotionally neutral or dangerous (emotionally charged or likely to pose a threat. Subjects used multiple categories in induction when one of the categories was dangerous but not when they were all neutral. In Experiment 2, the most likely category was dangerous. Here, people used multiple categories, but there was also an effect of avoidance, in which people denied that dangerous categories were the most likely. The attention-grabbing power of dangerous categories may be balanced by a higher-level strategy to reject them.

  8. The Effect of Feedback Delay and Feedback Type on Perceptual Category Learning: The Limits of Multiple Systems

    Science.gov (United States)

    Dunn, John C.; Newell, Ben R.; Kalish, Michael L.

    2012-01-01

    Evidence that learning rule-based (RB) and information-integration (II) category structures can be dissociated across different experimental variables has been used to support the view that such learning is supported by multiple learning systems. Across 4 experiments, we examined the effects of 2 variables, the delay between response and feedback…

  9. Radiation protection in category III large gamma irradiators

    International Nuclear Information System (INIS)

    This article discusses the advantages of category III large gamma irradiator compared to the others, with emphasis on aspects of radiological protection, in the industrial sector. This category is a kind of irradiators almost unknown to the regulators authorities and the industrial community, despite its simple construction and greater radiation safety intrinsic to the model, able to maintain an efficiency of productivity comparable to those of category IV. Worldwide, there are installed more than 200 category IV irradiators and there is none of a category III irradiator in operation. In a category III gamma irradiator, the source remains fixed in the bottom of the tank, always shielded by water, negating the exposition risk. Taking into account the benefits in relation to radiation safety, the category III large irradiators are highly recommended for industrial, commercial purposes or scientific research. (author)

  10. Comparing English, Mandarin, and Russian Hydrographic and Terrain Categories

    Energy Technology Data Exchange (ETDEWEB)

    Feng, Chen-Chieh [National University of Singapore; Sorokine, Alexandre [ORNL

    2013-01-01

    The paper compares hydrographic and terrain categories in the geospatial data standards of the US, Taiwan, and Russian Federation where the dominant languages used are from di erent language families. It aims to identify structural and semantic di erences between similar categories across three geospatial data standards. By formalizing the data standard structures and identifying the properties that di erentiate sibling categories in each geospatial data standard using well-known formal relations and quality universals, we develop a common basis on which hydrographic and terrain categories in the three data standards can be compared. The result suggests that all three data standards structure categories with a mixture of relations with di erent meaning even though most of them are well-known relations in top-level ontologies. Similar categories can be found across all three standards but exact match between similar categories are rare.

  11. Limits of generalization between categories and implications for theories of category specificity.

    Science.gov (United States)

    Bukach, Cindy M; Phillips, W Stewart; Gauthier, Isabel

    2010-10-01

    Both domain-specific and expertise accounts of category specialization assume that generalization occurs within a domain but not between domains. Yet it is often difficult to define the boundaries and critical features of object domains. Differences in how categories are defined make it difficult to adjudicate between accounts of category specificity and may lead to contradictory results. For example, evidence for whether car experts recruit the fusiform face area is mixed, and this inconsistency may be due to the inclusion of antique cars in one of those previous studies (e.g., Grill-Spector, Knouf, & Kanwisher, 2004). The present study tested the generalization of expertise from modern to antique cars and found that modern-car experts showed expert discrimination and holistic processing of modern cars but not of antique cars. These findings suggest that the neural specialization underlying perceptual expertise is highly specific and may not generalize to distinct subclasses, even when they share some degree of perceptual and conceptual features.

  12. Treatment of Wilson's disease with zinc. I. Oral zinc therapy regimens.

    Science.gov (United States)

    Hill, G M; Brewer, G J; Prasad, A S; Hydrick, C R; Hartmann, D E

    1987-01-01

    The standard therapy for preventing copper accumulation in Wilson's disease, D-penicillamine, has been a life-saving drug, but it has many side effects and some patients are completely intolerant. We have been using oral zinc as another approach to the therapy for Wilson's disease, with copper balance studies as the key initial assessment of the adequacy of a given dose or regimen of zinc therapy. We earlier reported that an intensive regimen of zinc (zinc taken every 4 hr) was effective in controlling copper balance. We have now shown with balance studies that a simplified zinc therapy regimen of 50 mg zinc taken 3 times per day is effective in controlling copper balance. Preliminary work presented here with other simplified regimens also indicate their effectiveness. These studies increase the data base, in terms of copper balance, for zinc therapy of Wilson's disease, and expand the dose range and regimens of zinc which have been shown to control copper balance. PMID:3570163

  13. Cleansing the colon in gallium-67 scintigraphy: a prospective comparison of regimens

    International Nuclear Information System (INIS)

    Colonic accumulation of gallium-67 frequently complicates the interpretation of gallium-67 scintigrams. Although various modes of cleansing the colon prior to scintigraphy have been suggested, there is controversy over their efficacy and none have been tested prospectively. Three hundred nine patients undergoing gallium-67 scintigraphy were randomly assigned to one of four cleansing regimens: (1) a high fiber diet (78 patients); (2) castor oil (76); (3) milk of magnesia and cascara (76); and (4) not preparation (79). Patient compliance rates for the four regimens were 17%, 32%, 36%, and 46%, respectively. After noncompliant patients were excluded, gallium-67 scintigrams were graded for colonic activity on a scale of 0-3 by three independent, experienced observers. Gallium-67 activity in the colon was significantly less after administration of castor oil than after no preparation (p . 0.047). A high fiber diet also resulted in a substantial reduction of colonic activity when compared with no preparation; the difference, however, was not statistically significant (p . 0.083). Regimen 3 did not produce significantly better results than regimen 4 (p . 0.42). A major impediment to the success of any cleansing regimen seems to be poor compliance of patients

  14. Effect of different bleaching regimens on the flexural strength of hybrid composite resin

    Directory of Open Access Journals (Sweden)

    Atiyeh Feiz

    2016-01-01

    Full Text Available Background: The entire effects of different bleaching regimens on the mechanical properties of composite resins have remained unknown. The purpose of this study was to evaluate the effects of different bleaching regimens on the flexural strength (FS of hybrid composite resins. Materials and Methods: In this in vitro study, 80 bar-shaped specimens of hybrid composite resins were fabricated and randomly divided into four groups, 20 specimens in each group. First group (C was considered as control. The other groups were treated by home bleaching (HB agent, in-office bleaching (IB agent, and the combination regimens (HIB, respectively. The FS was evaluated by three-point bending test by using a Universal Testing Machine. All data were analyzed by using Statistical Package for the Social Sciences (SPSS software version 18, analysis of variance (ANOVA, and Turkey′s post hoc statistical tests (α = 0.05. Results: The maximum mean value of FS was seen in HB group with significant differences to other groups (P < 0.05. Also, the minimum FS was observed in group HIB. Conclusion: Application of different bleaching regimens does not have any adverse effect on the FS of hybrid composite resins. However, the administration of HB regimens seemed to have lesser negative impact on the FS.

  15. The meta as an aesthetic category

    Directory of Open Access Journals (Sweden)

    Bruno Trentini

    2014-04-01

    Full Text Available Philosophical logic defined a metalanguage as a language about a language. After that, the word “metapicture” was used by Mitchell to identify a picture about a picture. Once we are not dealing with language, we may think that we are not dealing with signification. However, the word “meta” and its aboutness may assume that a picture has to be interpreted and has a meaning. We think that this is not accurate in order to understand the meta. The present article proposes to define the meta as an aesthetic category and not as a logical one. The analysis takes into account viewers’ attention to self-referential works of art so as to propose an embodied aesthetic analysis. We want to show that the experience of meta in art is a reflective experience. A picture is seen as a metapicture relative to the attention that viewers have on it: they can or cannot see it as a metapicture. Obviously, activating the meta quality changes the perception of the picture. One might think that the meta quality is due to paradoxes. In fact, self-reference often leads to paradoxes. We precisely want to show that paradoxes are not a necessary ingredient to induce the meta specific feeling. Why? Probably because the mere work is not reflective; it is not a speech. The reflexivity that is supposed to be in the work is actually the reflexivity of the cognition of spectators projected in the work. Similarly to Kant's definition of the sublime, the structure “meta” lies in the subject, not in the picture. The experience of the metapicture should actually be named as the meta-experience of the picture.

  16. Predicting Success Study Using Students GPA Category

    Directory of Open Access Journals (Sweden)

    Awan Setiawan

    2015-07-01

    Full Text Available Abstract. Maintaining student graduation rates are the main tasks of a University. High rates of student graduation and the quality of graduates is a success indicator of a university, which will have an impact on public confidence as stakeholders of higher education and the National Accreditation Board as a regulator (government. Making predictions of student graduation and determine the factors that hinders will be a valuable input for University. Data mining system facilitates the University to create the segmentation of students’ performance and prediction of their graduation. Segmentation of student by their performance can be classified in a quadrant chart is divided into 4 segments based on grade point average and the growth rate of students performance index per semester. Standard methodology in data mining i.e CRISP-DM (Cross Industry Standard Procedure for Data Mining will be implemented in this research. Making predictions, graduation can be done through the modeling process by utilizing the college database. Some algorithms such as C5, C & R Tree, CHAID, and Logistic Regression tested in order to find the best model. This research utilizes student performance data for several classes. Parameters used in addition to GPA also included the master's students data are expected to build the student profile data. The outcome of the study is the student category based on their study performance and prediction of graduation. Based on this prediction, the  university may recommend actions to be taken to improve the student  achievement index and graduation rates.Keywords: graduation, segmentation, quadrant GPA, data mining, modeling algorithms

  17. EDUCATIONAL EVENT AS THE PEDAGOGICAL CATEGORY

    Directory of Open Access Journals (Sweden)

    Victor V. Lobanov

    2015-01-01

    Full Text Available The aim of the investigation is to reveal the essence of the educational event as a pedagogical category. The reason to study the issue is the methodological generality of the term that came into pedagogical everyday life, but which semantic content is still not clear enough. Methods. The methods involve a theoretical analysis of the philosophical and pedagogical literature on the study, the categorical analysis, surveys of students and teachers. Results. The concept content of «event» is looked upon in both historical scholarship and pedagogy, «educational event» is analyzed in unity with the «educational situation» and «educational process». The attitude of students and teachers to educational events was clarified through the surveys; emotional and rational responses of the respondents were differentiated and the peculiarities of events organization in the education system were classified. While teachers and students are considered as subjects of educational events, their goals are delineated. Scientific novelty. The author's own definition of is given. Educational event is defined as a specially organized and unique pedagogical fact limited, but not rigidly determined by the educational situation, and capable of changing the educational process going beyond the boundaries of its conformism. The formulation above is the result of analysis how the concepts of «event», «situation» and «process» may interact in pedagogical discourse. Practical significance. The results can be used while designing the educational programs and projects, as well as in the development of academic courses of innovative pedagogy. 

  18. Category and perceptual learning in subjects with treated Wilson's disease.

    Directory of Open Access Journals (Sweden)

    Pengjing Xu

    Full Text Available To explore the relationship between category and perceptual learning, we examined both category and perceptual learning in patients with treated Wilson's disease (WD, whose basal ganglia, known to be important in category learning, were damaged by the disease. We measured their learning rate and accuracy in rule-based and information-integration category learning, and magnitudes of perceptual learning in a wide range of external noise conditions, and compared the results with those of normal controls. The WD subjects exhibited deficits in both forms of category learning and in perceptual learning in high external noise. However, their perceptual learning in low external noise was relatively spared. There was no significant correlation between the two forms of category learning, nor between perceptual learning in low external noise and either form of category learning. Perceptual learning in high external noise was, however, significantly correlated with information-integration but not with rule-based category learning. The results suggest that there may be a strong link between information-integration category learning and perceptual learning in high external noise. Damage to brain structures that are important for information-integration category learning may lead to poor perceptual learning in high external noise, yet spare perceptual learning in low external noise. Perceptual learning in high and low external noise conditions may involve separate neural substrates.

  19. Peripheral blood stem cell graft compared to bone marrow after reduced intensity conditioning regimens for acute leukemia: a report from the ALWP of the EBMT

    Science.gov (United States)

    Savani, Bipin N.; Labopin, Myriam; Blaise, Didier; Niederwieser, Dietger; Ciceri, Fabio; Ganser, Arnold; Arnold, Renate; Afanasyev, Boris; Vigouroux, Stephane; Milpied, Noel; Hallek, Michael; Cornelissen, Jan J.; Schwerdtfeger, Rainer; Polge, Emmanuelle; Baron, Frédéric; Esteve, Jordi; Gorin, Norbert C.; Schmid, Christoph; Giebel, Sebastian; Mohty, Mohamad; Nagler, Arnon

    2016-01-01

    Increasing numbers of patients are receiving reduced intensity conditioning regimen allogeneic hematopoietic stem cell transplantation. We hypothesized that the use of bone marrow graft might decrease the risk of graft-versus-host disease compared to peripheral blood after reduced intensity conditioning regimens without compromising graft-versus-leukemia effects. Patients who underwent reduced intensity conditioning regimen allogeneic hematopoietic stem cell transplantation from 2000 to 2012 for acute leukemia, and who were reported to the Acute Leukemia Working Party of the European Group for Blood and Marrow Transplantation were included in the study. Eight hundred and thirty-seven patients receiving bone marrow grafts were compared with 9011 peripheral blood transplant recipients after reduced intensity conditioning regimen. Median follow up of surviving patients was 27 months. Cumulative incidence of engraftment (neutrophil ≥0.5×109/L at day 60) was lower in bone marrow recipients: 88% versus 95% (P<0.0001). Grade II to IV acute graft-versus-host disease was lower in bone marrow recipients: 19% versus 24% for peripheral blood (P=0.005). In multivariate analysis, after adjusting for differences between both groups, overall survival [Hazard Ratio (HR) 0.90; P=0.05] and leukemia-free survival (HR 0.88; P=0.01) were higher in patients transplanted with peripheral blood compared to bone marrow grafts. Furthermore, peripheral blood graft was also associated with decreased risk of relapse (HR 0.78; P=0.0001). There was no significant difference in non-relapse mortality between recipients of bone marrow and peripheral blood grafts, and chronic graft-versus-host disease was significantly higher after peripheral blood grafts (HR 1.38; P<0.0001). Despite the limitation of a retrospective registry-based study, we found that peripheral blood grafts after reduced intensity conditioning regimens had better overall and leukemia-free survival than bone marrow grafts. However

  20. Improved Outcome of a Reduced Toxicity-Fludarabine, Cyclophosphamide, plus Antithymocyte Globulin Conditioning Regimen for Unrelated Donor Transplantation in Severe Aplastic Anemia: Comparison of 2 Multicenter Prospective Studies.

    Science.gov (United States)

    Kang, Hyoung Jin; Hong, Kyung Taek; Lee, Ji Won; Kim, Hyery; Park, Kyung Duk; Shin, Hee Young; Lee, Soo Hyun; Yoo, Keon Hee; Sung, Ki Woong; Koo, Hong Hoe; Lee, Jae Wook; Chung, Nak Gyun; Cho, Bin; Kim, Hack Ki; Koh, Kyung Nam; Im, Ho Joon; Seo, Jong Jin; Jung, Hyun Joo; Park, Jun Eun; Lee, Young Ho; Lim, Young Tak; Lim, Yeon Jung; Kim, Sun Young; Yoo, Eun Sun; Ryu, Kyung Ha; Lee, Jae Hee; Park, Jeong-A; Park, Sang Kyu; Ahn, Hyo Seop

    2016-08-01

    Hematopoietic stem cell transplantation (HSCT) is a curative therapy for severe aplastic anemia (SAA); however, the optimal conditioning regimen for HSCT with an unrelated donor has not yet been defined. A previous study using a fludarabine (FLU), cyclophosphamide (Cy), and antithymocyte globulin (ATG) conditioning regimen (study A: 50 mg/kg Cy once daily i.v. on days -9, -8, -7, and -6; 30 mg/m(2) FLU once daily i.v. on days -5, -4, -3, and -2; and 2.5 mg/kg of ATG once daily i.v. on days -3, -2, and -1) demonstrated successful engraftment (100%) but had a high treatment-related mortality rate (32.1%). Therefore, given that Cy is more toxic than FLU, we performed a new phase II prospective study with a reduced-toxicity regimen (study B: 60 mg/kg Cy once daily i.v. on days -8 and -7; 40 mg/m(2) FLU once daily i.v. on days -6, -5, -4, -3, and -2; and 2.5 mg/kg ATG once daily i.v. on 3 days). Fifty-seven patients were enrolled in studies A (n = 28) and B (n = 29), and donor type hematologic recovery was achieved in all patients in both studies. The overall survival (OS) and event-free survival (EFS) rates of patients in study B was markedly improved compared with those in study A (OS: 96.7% versus 67.9%, respectively, P = .004; EFS: 93.3% versus 64.3%, respectively, P = .008). These data show that a reduced-toxicity conditioning regimen with FLU, Cy, and ATG may be an optimal regimen for SAA patients receiving unrelated donor HSCT. PMID:27090956

  1. Pharmacokinetic estimation for therapeutic dosage regimens (PETDR)--a software program designed to determine intravenous drug dosage regimens for veterinary applications.

    Science.gov (United States)

    Riviere, J E; Frazier, D L; Tippitt, W L

    1988-12-01

    Pharmacokinetic estimation for therapeutic dosage regimens (PETDR) is a soft-ware program used to design individualized intravenous dosage regimens, determine concentration-time profiles, predict serum concentrations at a specific time after intravenous dosing and predict the time after the last dose to achieve a specified concentration of drug. The reference pharmacokinetic parameters may be based on an individual animal's pharmacokinetic disposition of drug or on FARAD (Food Animal Residue Avoidance Databank) mean population kinetic parameters. An individual animal's kinetic parameters may be input for predetermined analysis or the program can calculate these values by input of raw serum concentration-time data. The program allows the user to specify certain parameters of the dosage regimen, then calculates the other parameters (given desired maximum and minimum serum concentrations, dose and interval are calculated; given desired maximum serum concentration and interval, dose is calculated, etc.). Given the kinetic parameters, the dose and dosing interval, the program calculates and plots the serum concentration-time profile of the drug for that animal. The time and the number of doses to reach steady state can be calculated as well as the determination of loading dose. The percentage of the time of a dosing interval at steady state that the serum concentration is above a specific minimum inhibitory concentration (MIC) allows evaluation of efficacy of an antimicrobial regimen. Similarly, the time to reach a specific concentration (e.g. residue tolerance) or the MIC of a drug can be calculated. Legal tissue tolerances can be accessed from FARAD to aid in predicting for what period of time illegal residues will remain in the animal.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:3210265

  2. Three-Times Daily Ultrafractionated Radiation Therapy, A Novel and Promising Regimen for Glioblastoma Patients

    Directory of Open Access Journals (Sweden)

    Patrick Beauchesne

    2013-09-01

    Full Text Available Glioblastomas are considered to be one of the most radio resistant tumors. Despite new therapies, the prognosis of this disease remains dismal. Also, the mechanisms of radiation resistance in mammalian cells are more complex than once believed. Experimental studies have indicated that some human cell lines are sensitive to low radiation doses of <1 Gy. This phenomenon has been termed low-dose hyper-radio-sensitivity (HRS, and is more apparent in radio resistant cell lines, such as glioblastoma cells. Sensitivity may result from the inability of low dose radiation to efficiently induce repair mechanisms, whereas higher doses cause enough damage to trigger repair responses for radio resistance. In vitro studies have demonstrated this phenomenon using various human malignant glioma cell lines: (1 daily repeated irradiation of cells with low doses compared to irradiation using a single biologically equivalent dose resulted in significantly higher cell killing; (2 experiments conducted on glioma xenografts demonstrated that repeated irradiation with low doses was more effective for inhibiting tumor growth than a single dose. In order to confirm and validate these promising studies on HRS, a few phase II trials were developed. For translating the experimental observations into the clinic, ultra fractionation protocols (with three daily doses were tested in glioblastoma patients. Tolerance and toxicity were the primary endpoints, with overall survival as a secondary endpoint. These protocols were initiated before concomitant radio chemotherapy became the standard of care. For these trials, patients with an unfavorable clinical prognostic factor of newly unresectable GBM were included. When comparing the results of these trials with international literature using multivariate analysis for both progression free survival and overall survival, ultra fractionated irradiation showed superiority over radiotherapy alone. In addition, it was found to be

  3. Poor response to tuberculosis treatment with regimens without rifampicin in immunosuppressed AIDS patients

    Directory of Open Access Journals (Sweden)

    O'Donnel M.M.

    2002-01-01

    Full Text Available A prospective study was conducted on 79 advanced immunosuppressed AIDS patients from 1997 to 1999, during which nine cases of tuberculosis (TB were diagnosed. The main clinical and laboratory characteristics and the response to TB treatment were reviewed. The clinical manifestations of TB were: pulmonary (six cases, extrapulmonary (two cases and disseminated (one case. These patients were being treated with highly active antiretroviral treatment (HAART and were not responding. In three cases an optional regimen without rifampicin (RMP was indicated to maintain HAART during TB treatment. A clinical response to TB treatment (disappearance of fever was observed in 6/9 patients during a mean of 73 days (SD = 96. The three unresponsive patients were those treated without RMP. A switch to TB regimens containing RMP was proposed and successful. In our study, though it was limited by a small sample size, the response to TB regimens without rifampin was poor in immunossupressed patients failing HAART.

  4. Antiretroviral regimen and suboptimal medication adherence are associated with low-level human immunodeficiency virus viremia.

    Science.gov (United States)

    Konstantopoulos, Christina; Ribaudo, Heather; Ragland, Kathleen; Bangsberg, David R; Li, Jonathan Z

    2015-01-01

    Episodes of human immunodeficiency virus low-level viremia (LLV) are common in the clinical setting, but its association with antiretroviral therapy (ART) regimen and adherence remains unclear. Antiretroviral therapy adherence was evaluated in participants of the Research on Access to Care in the Homeless cohort by unannounced pill counts. Factors associated with increased risk of LLV include treatment with a protease inhibitor (PI)-based regimen (ritonavir-boosted PI vs nonnucleoside reverse-transcriptase inhibitor: adjusted hazard ratio [HR], 3.1; P = .01) and lower ART adherence over the past 3 months (HR, 1.1 per 5% decreased adherence, adjusted; P = .050). Patients with LLV may benefit from ART adherence counseling and potentially regimen modification. PMID:25884007

  5. Treatment regimens for rifampicin-resistant tuberculosis: highlighting a research gap.

    Science.gov (United States)

    Stagg, H R; Hatherell, H-A; Lipman, M C; Harris, R J; Abubakar, I

    2016-07-01

    Treatment guidance for non-multidrug-resistant (MDR) rifampicin-resistant (RMP-R) tuberculosis (TB) is variable. We aimed to undertake a systematic review and meta-analysis of the randomised controlled trial (RCT) data behind such guidelines to identify the most efficacious treatment regimens. Ovid MEDLINE, the Web of Science and EMBASE were mined using search terms for TB, drug therapy and RCTs. Despite 12 604 records being retrieved, only three studies reported treatment outcomes by regimen for patients with non-MDR RMP-R disease, preventing meta-analysis. Our systematic review highlights a substantial gap in the literature regarding evidence-based treatment regimens for RMP-R TB.

  6. Sterilizing activity of second-line regimens containing TMC207 in a murine model of tuberculosis.

    Directory of Open Access Journals (Sweden)

    Nicolas Veziris

    Full Text Available RATIONALE: The sterilizing activity of the regimen used to treat multidrug resistant tuberculosis (MDR TB has not been studied in a mouse model. OBJECTIVE AND METHODS: Swiss mice were intravenously inoculated with 6 log10 of Mycobacterium tuberculosis (TB strain H37Rv, treated with second-line drug combinations with or without the diarylquinoline TMC207, and then followed without treatment for 3 more months to determine relapse rates (modified Cornell model. MEASUREMENTS: Bactericidal efficacy was assessed by quantitative lung colony-forming unit (CFU counts. Sterilizing efficacy was assessed by measuring bacteriological relapse rates 3 months after the end of treatment. MAIN RESULTS: The relapse rate observed after 12 months treatment with the WHO recommended MDR TB regimen (amikacin, ethionamide, pyrazinamide and moxifloxacin was equivalent to the relapse rate observed after 6 months treatment with the recommended drug susceptible TB regimen (rifampin, isoniazid and pyrazinamide. When TMC207 was added to this MDR TB regimen, the treatment duration needed to reach the same relapse rate dropped to 6 months. A similar relapse rate was also obtained with a 6-month completely oral regimen including TMC207, moxifloxacin and pyrazinamide but excluding both amikacin and ethionamide. CONCLUSIONS: In this murine model the duration of the WHO MDR TB treatment could be reduced to 12 months instead of the recommended 18-24 months. The inclusion of TMC207 in the WHO MDR TB treatment regimen has the potential to further shorten the treatment duration and at the same time to simplify treatment by eliminating the need to include an injectable aminoglycoside.

  7. Application of Radial Basis Network Model for HIV/AIDs Regimen Specifications

    CERN Document Server

    Balasubramanie, P

    2009-01-01

    HIV/AIDs Regimen specification one of many problems for which bioinformaticians have implemented and trained machine learning methods such as neural networks. Predicting HIV resistance would be much easier, but unfortunately we rarely have enough structural information available to train a neural network. To network model designed to predict how long the HIV patient can prolong his/her life time with certain regimen specification. To learn this model 300 patient's details have taken as a training set to train the network and 100 patients medical history has taken to test this model. This network model is trained using MAT lab implementation.

  8. A randomized trial evaluating a block-replacement regimen during radioiodine therapy

    DEFF Research Database (Denmark)

    Bonnema, Steen J; Grupe, Peter; Boel-Jørgensen, Henrik;

    2011-01-01

    Eur J Clin Invest 2010 ABSTRACT: Background  Lack of consensus regarding the antithyroid drug regimen in relation to radioiodine ((131) I) therapy of hyperthyroidism prompted this randomized trial comparing two strategies. Design  Patients with Graves' disease (GD, n = 51) or toxic nodular goitre...... (TNG, n = 49) were randomized to (131) I either 8 days following discontinuation of methimazole (-BRT, n = 52, median dose: 5 mg) or while on a continuous block-replacement regimen (+BRT, n = 48, median dose 15 mg methimazole and 100 μg levothyroxine). Results  Patients in the +BRT group required more...

  9. [Stability of high-dose etoposide dilutions for use in hematopoietic stem cell transplantation conditioning regimens].

    Science.gov (United States)

    Bauters, T; Vandenbroucke, J; Commeyne, S

    2015-12-01

    High-dose etoposide is used in conditioning regimens for allogeneic stem cell transplantation. The limited stability of the drug induces barriers for its use for pharmacists, nurses and patients. When using a concentration of 10 mg/mL etoposide in physiologic saline, limitations can be overcome. This study provides stability data for etoposide in a high concentration that can be used in conditioning regimens. The solution was stable for 48h at 5°C, for 48h at 5°C followed by 8h at 25°C and for 24 h at 25°C.

  10. Efavirenz versus boosted atazanavir-containing regimens and immunologic, virologic, and clinical outcomes

    Science.gov (United States)

    Cain, Lauren E.; Caniglia, Ellen C.; Phillips, Andrew; Olson, Ashley; Muga, Roberto; Pérez-Hoyos, Santiago; Abgrall, Sophie; Costagliola, Dominique; Rubio, Rafael; Jarrín, Inma; Bucher, Heiner; Fehr, Jan; van Sighem, Ard; Reiss, Peter; Dabis, François; Vandenhende, Marie-Anne; Logan, Roger; Robins, James; Sterne, Jonathan A. C.; Justice, Amy; Tate, Janet; Touloumi, Giota; Paparizos, Vasilis; Esteve, Anna; Casabona, Jordi; Seng, Rémonie; Meyer, Laurence; Jose, Sophie; Sabin, Caroline; Hernán, Miguel A.

    2016-01-01

    Abstract Objective: To compare regimens consisting of either ritonavir-boosted atazanavir or efavirenz and a nucleoside reverse transcriptase inhibitor (NRTI) backbone with respect to clinical, immunologic, and virologic outcomes. Design: Prospective studies of human immunodeficiency virus (HIV)-infected individuals in Europe and the United States included in the HIV-CAUSAL Collaboration. Methods: HIV-positive, antiretroviral therapy-naive, and acquired immune deficiency syndrome (AIDS)-free individuals were followed from the time they started an atazanavir or efavirenz regimen. We estimated an analog of the “intention-to-treat” effect for efavirenz versus atazanavir regimens on clinical, immunologic, and virologic outcomes with adjustment via inverse probability weighting for time-varying covariates. Results: A total of 4301 individuals started an atazanavir regimen (83 deaths, 157 AIDS-defining illnesses or deaths) and 18,786 individuals started an efavirenz regimen (389 deaths, 825 AIDS-defining illnesses or deaths). During a median follow-up of 31 months, the hazard ratios (95% confidence intervals) were 0.98 (0.77, 1.24) for death and 1.09 (0.91, 1.30) for AIDS-defining illness or death comparing efavirenz with atazanavir regimens. The 5-year survival difference was 0.1% (95% confidence interval: −0.7%, 0.8%) and the AIDS-free survival difference was −0.3% (−1.2%, 0.6%). After 12 months, the mean change in CD4 cell count was 20.8 (95% confidence interval: 13.9, 27.8) cells/mm3 lower and the risk of virologic failure was 20% (14%, 26%) lower in the efavirenz regimens. Conclusion: Our estimates are consistent with a smaller 12-month increase in CD4 cell count, and a smaller risk of virologic failure at 12 months for efavirenz compared with atazanavir regimens. No overall differences could be detected with respect to 5-year survival or AIDS-free survival. PMID:27741139

  11. PHARMACOECONOMIC ASSESSMENT OF USING INTERFERON-FREE REGIMENS FOR CHRONIC HEPATITIS C AFTER LIVER TRANSPLANTATION

    Directory of Open Access Journals (Sweden)

    A. A. Sukhoruk

    2016-01-01

    Full Text Available This article contains analysis of current combination treatment regimens for chronic hepatitis C after liver transplantation. Antiviral therapy with long-acting interferons and ribavirin is of low efficiency and high costs. The clinical and economic benefits of interferon-free treatment regimen for patients infected with genotype 1 HCV using dasabuvir, paritaprevir boosted with ritonavir, ombitasvir (Viekira Pak and ribavirin have been shown. Registration and introduction into clinical practice of new direct-acting antiviral drugs will significantly expand the arsenal of tools for the treatment of recurrent HCV infections, in particular in patients infected with hepatitis C virus genotypes 2 and 3. 

  12. The triangulated category of K-motives DK_(k)

    OpenAIRE

    Garkusha, Grigory; Panin, Ivan

    2013-01-01

    For any perfect field k a triangulated category of K-motives DK_(k) is constructed in the style of Voevodsky's construction of the category DM_(k). To each smooth k-variety X the K-motive is associated in the category DK_(k). Also, it is shown that K_n(X)=DK_(k)(M_K(X)[n],M_K(pt)), where K(X) is Quillen's K-theory of X.

  13. Categorical perception of color: evidence from secondary category boundary

    Directory of Open Access Journals (Sweden)

    Al-rasheed AS

    2015-11-01

    Full Text Available Abdulrahman Saud Al-rasheed Department of Psychology, King Saud University, Riyadh, Kingdom of Saudi Arabia Abstract: Despite a plethora of behavioral research exploring the phenomenon of color categorical perception (CP known as "better discrimination between pair of colors stimuli from different categories and pair of colors stimuli from the same category even when the stimulus differences between the pairs of stimuli are equal", most of the evidence for the CP of color was derived from Roman or top-to-down script readers and very rarely from right-to-left script readers in primary category. To date, no studies of color CP have been conducted on right-to-left script readers in secondary category boundary to support this theory. Three experiments have been conducted: Experiments 1 and 2 established the Arabic blue–purple secondary category boundary, and Experiment 3 tested the CP of color in the blue–purple category boundary. Sixty participants (30 men and 30 women took part in this study. All spoke Arabic as their first language, and all were undergraduate or postgraduate students at King Saud University. Their ages ranged from 18–35 years with a mean age of 21.9 years (SD =5.2. The result indicated that for Experiments 1 and 2, it appeared that the Arabic blue–purple category boundary was approximately 10PB and it is in the same location as for English. For Experiment 3, reaction times in the between-categories condition were significantly faster than those in the within-category condition; this suggested that CP of color was shown in the Arabic's blue–purple secondary category boundary. Keywords: categorical perception, CP of color, categorization, blue–purple category boundary, secondary category boundary

  14. Graded self-dual fusion categories of rank $4$

    OpenAIRE

    Dong, Jingcheng; Zhang, Liangyun; Dai, Li

    2016-01-01

    We classify self-dual spherical fusion categories of rank $4$ with non-trivial universal grading. We prove that they are Grothendieck equivalent to a Deligne's tensor product $\\A\\boxtimes\\B$, where $\\A$ is a non-pointed fusion category of rank $2$, $\\B$ is a pointed fusion category of rank $2$. In particular, if they are braided then they are equivalent to $\\A\\boxtimes\\B$.

  15. The Fukaya category, exotic forms and exotic autoequivalences

    OpenAIRE

    Harris, Richard

    2012-01-01

    A symplectic manifold is a smooth manifold M together with a choice of a closed non-degenerate two-form. Recent years have seen the importance of associating an A?-category to M, called its Fukaya category, in helping to understand symplectic properties of M and its Lagrangian submanifolds. One of the principles of this construction is that automorphisms of the symplectic manifold should induce autoequivalences of the derived Fukaya category, although precisely what autoequi...

  16. On Anaphora and the Binding Principles in Categorial Grammar

    Science.gov (United States)

    Morrill, Glyn; Valentín, Oriol

    In type logical categorial grammar the analysis of an expression is a resource-conscious proof. Anaphora represents a particular challenge to this approach in that the antecedent resource is multiplied in the semantics. This duplication, which corresponds logically to the structural rule of contraction, may be treated lexically or syntactically. Furthermore, anaphora is subject to constraints, which Chomsky (1981) formulated as Binding Principles A, B, and C. In this paper we consider English anaphora in categorial grammar including reference to the binding principles. We invoke displacement calculus, modal categorial calculus, categorial calculus with limited contraction, and entertain addition of negation as failure.

  17. Multitensor lifting and strictly unital higher category theory

    OpenAIRE

    Batanin, Michael; Cisinski, Denis-Charles; Weber, Mark

    2013-01-01

    In this article we extend the theory of lax monoidal structures, also known as multitensors, and the monads on categories of enriched graphs that they give rise to. Our first principal result -- the lifting theorem for multitensors -- enables us to see the Gray tensor product of 2-categories and the Crans tensor product of Gray categories as part of this framework. We define weak n-categories with strict units by means of a notion of reduced higher operad, using the theory of algebraic weak f...

  18. Category learning in the context of co-presented items.

    Science.gov (United States)

    Andrews, Janet K; Livingston, Kenneth R; Kurtz, Kenneth J

    2011-05-01

    A series of four studies explore how the presentation of multiple items on each trial of a categorization task affects the course of category learning. In a three-category supervised classification task involving multi-dimensionally varying artificial organism-like stimuli, learners are shown a target plus two context items on every trial, with the context items' category membership explicitly identified. These triads vary in whether one, two, or all three categories are represented. This presentation context can support within-category comparison and/or between-category contrast. The most successful learning occurs when all categories are represented in each trial. This pattern occurs across two different underlying category structures and across variations in learners' prior knowledge of the relationship between the target and context items. These results appear to contrast with some other recent findings and make clear the potential importance of context-based inter-item evaluation in human category learning, which has implications for psychological theory and for real-world learning environments. PMID:21080030

  19. Deferred feedback sharply dissociates implicit and explicit category learning.

    Science.gov (United States)

    Smith, J David; Boomer, Joseph; Zakrzewski, Alexandria C; Roeder, Jessica L; Church, Barbara A; Ashby, F Gregory

    2014-02-01

    The controversy over multiple category-learning systems is reminiscent of the controversy over multiple memory systems. Researchers continue to seek paradigms to sharply dissociate explicit category-learning processes (featuring category rules that can be verbalized) from implicit category-learning processes (featuring learned stimulus-response associations that lie outside declarative cognition). We contribute a new dissociative paradigm, adapting the technique of deferred-rearranged reinforcement from comparative psychology. Participants learned matched category tasks that had either a one-dimensional, rule-based solution or a multidimensional, information-integration solution. They received feedback either immediately or after each block of trials, with the feedback organized such that positive outcomes were grouped and negative outcomes were grouped (deferred-rearranged reinforcement). Deferred reinforcement qualitatively eliminated implicit, information-integration category learning. It left intact explicit, rule-based category learning. Moreover, implicit-category learners facing deferred-rearranged reinforcement turned by default and information-processing necessity to rule-based strategies that poorly suited their nominal category task. The results represent one of the strongest explicit-implicit dissociations yet seen in the categorization literature. PMID:24335605

  20. Antiretroviral therapy in HIV-infected patients: a proposal to assess the economic value of the single-tablet regimen

    Directory of Open Access Journals (Sweden)

    Colombo GL

    2013-02-01

    Full Text Available Giorgio L Colombo,1,2 Sergio Di Matteo,2 Franco Maggiolo31University of Pavia, Department of Drug Sciences, School of Pharmacy, Pavia, Italy, 2Studi Analisi Valutazioni Economiche, Milan, Italy, 3Division of Infectious Diseases, Ospedali Riuniti, Bergamo, ItalyBackground: The aim of this study was to assess the economic value of a reduced number of pills in patients infected with the immunodeficiency virus (HIV and on highly active antiretroviral therapy by a cost-effectiveness model.Methods: An incremental cost-effectiveness analysis of efavirenz, tenofovir, and emtricitabine (TDF-FTC-EFV as a single-tablet regimen versus a multipill regimen, with reference to untreated HIV-infected patients, was carried out from the perspective of the Italian National Health Service. The comparisons were performed with the help of a Markov decision model over a 10-year time horizon. Based on the ADONE (ADherence to ONE pill study, it was then possible to identify the utility score increment in patients switching from a multipill regimen of TDF-FTC + EFV therapy to a single-tablet regimen.Results: The single-tablet regimen (0.755 quality-adjusted life-years [QALYs]/year resulted in better patient quality of life, with a higher number of QALYs than for the TDF-FTC + EFV multipill regimen (0.716 QALYs/year. The single-tablet regimen was the most cost-effective treatment strategy, with an incremental cost-effectiveness ratio of €22,017.00 versus €26,558.00 for the multipill regimen. A 24% decrease in cost of the multipill regimen determined equivalence with the single-tablet regimen in terms of the incremental cost-effectiveness ratio. Univariate sensitivity and probabilistic analysis carried out on the main variables did not highlight significant variations with respect to the base case scenario.Conclusion: The single-tablet regimen resulted in better adherence, and therefore better quality of life as perceived by patients, corresponding to a €4541.00 lower

  1. Categorial compositionality: a category theory explanation for the systematicity of human cognition.

    Science.gov (United States)

    Phillips, Steven; Wilson, William H

    2010-01-01

    Classical and Connectionist theories of cognitive architecture seek to explain systematicity (i.e., the property of human cognition whereby cognitive capacity comes in groups of related behaviours) as a consequence of syntactically and functionally compositional representations, respectively. However, both theories depend on ad hoc assumptions to exclude specific instances of these forms of compositionality (e.g. grammars, networks) that do not account for systematicity. By analogy with the Ptolemaic (i.e. geocentric) theory of planetary motion, although either theory can be made to be consistent with the data, both nonetheless fail to fully explain it. Category theory, a branch of mathematics, provides an alternative explanation based on the formal concept of adjunction, which relates a pair of structure-preserving maps, called functors. A functor generalizes the notion of a map between representational states to include a map between state transformations (or processes). In a formal sense, systematicity is a necessary consequence of a higher-order theory of cognitive architecture, in contrast to the first-order theories derived from Classicism or Connectionism. Category theory offers a re-conceptualization for cognitive science, analogous to the one that Copernicus provided for astronomy, where representational states are no longer the center of the cognitive universe--replaced by the relationships between the maps that transform them. PMID:20661306

  2. Multilevel induction of categories: venomous snakes hijack the learning of lower category levels.

    Science.gov (United States)

    Noh, Sharon M; Yan, Veronica X; Vendetti, Michael S; Castel, Alan D; Bjork, Robert A

    2014-08-01

    The induction of categories and concepts from examples-which plays an important role in how people come to organize and understand the world-can happen at multiple levels, but how do competing values at these different levels affect learning? Using perceptually rich images of snakes, we asked participants to attend to either the snakes' specific genus or a broader categorization and then tested induction at both levels. We also varied the intrinsic value of the broader categorization (high value: whether the snake was venomous; low value: whether it was tropical). We found an interaction between study instruction and intrinsic value: Participants in the low-value condition were better able to induce the level they were instructed to attend to (i.e., genus or broader category) than to induce the level they were not instructed to attend to, whereas participants in the high-value condition, regardless of the level of categorization they were instructed to attend to, were significantly better at learning the broad categorization (for them, whether the snake was venomous) than were participants in the low-value condition. Our results suggest that intrinsically valuable features can disrupt the intentional learning of other, task-relevant information, but enhance the incidental learning of the same information.

  3. Temporal Variation of Different Categories Sunspot Groups since 1996: Their Relation with Geomagnetic Ap and Dst Indices

    Science.gov (United States)

    Kilcik, Ali; Ozguc, Atila; Rozelot, Jean Pierre; Donmez, Burcin; Yurchyshyn, Vasyl

    2016-07-01

    We studied the temporal variation of the number of sunspot groups and sunspot counts in these groups in four categories as small (A, B), medium (C), large (D, E, F) and final (H modified Zurich classes) since 1996. Then we compared these data sets with geomagnetic Ap and Dst indices. In results of our analysis we found followings: 1) different categories sunspot groups and sunspot counts in these groups behave differently during a solar cycle. ii) Response of geomagnetic indices to these data sets are also different.

  4. Non comparative study on various pulse regimens (DCP, DAP and DMP in pemphigus: Our experience

    Directory of Open Access Journals (Sweden)

    Iffat Hassan

    2014-01-01

    Full Text Available Background: Pemphigus has been treated with Dexamethasone Cyclophosphamide Pulse (DCP Therapy since 1981.Various modifications have been suggested in the original regimen. These include Dexamethasone Azathioprine Pulse (DAP and Dexamethasone Methotrexate Pulse (DMP therapies. Aims: To report our experience on the noncomparative study of various Pulse regimens DCP, DAP AND DMP therapies in patients with Pemphigus. Materials and Methods: The patients were put on three regimens depending upon the situation-Conventional DCP, DAP in the reproductive age group, DMP in patients who showed prolonged Phase I more than 12 months while on DCP. Results: 30 patients were put on DCP therapy. The duration of phase I was on an average six months. Relapse was seen in 3 patients in phase IV. 12 patients on DAP therapy were considered. In Phase III 5 patients relapsed in phase IV four patients relapsed. Five patients were put on the DMP. Disease activity was poorly controlled and in three DMP was discontinued. Conclusion: DCP remains the most effective regimen with quickest onset of remission and continuance of remission. In DAP therapy fixation of dose of azathioprine at 50 mgs daily may be counterproductive. DMP does not fulfil the promise of a viable treatment option in recalcitrant pemphigus and this lacunae needs to be plugged.

  5. Efficacy of homecare regimens for mechanical plaque removal in managing gingivitis: a meta review

    NARCIS (Netherlands)

    F.A. van der Weijden; D.E. Slot

    2015-01-01

    Focused question Based on evidence as presented in systematic reviews what is the efficacy and safety of available homecare toothbrush regimens for mechanical plaque removal on plaque and gingivitis in adults? Material & Methods Three Internet sources were used (up to and including August 2014) to s

  6. Caregiver Resources and Facilitation of Elderly Care Recipient Adherence to Health Regimens

    Science.gov (United States)

    Greenberger, Haya; Litwin, Howard

    2003-01-01

    We studied the relationship between caregivers' personal and social resources and facilitation of adherence by elderly care recipients to a prescribed health regimen. Adherence facilitation was measured among 240 caregivers on a 45-item instrument constructed for this research. The facilitation score was regressed on caregivers' role-specific…

  7. The physiological response of instructors and participants to three aerobics regimens.

    Science.gov (United States)

    Clapp, J F; Little, K D

    1994-08-01

    This study was designed to test the hypothesis that there are regimen-specific differences in the thermal, metabolic, and cardiovascular responses of nonpregnant women when they perform their chosen type of aerobics at their usual performance level. Thirty-six instructors and 53 participants were studied while performing their chosen aerobics regimen under simulated field conditions using oxygen consumption as the index of exercise intensity. Under these conditions no significant differences were observed in the physiological response to low impact, high impact, or step regimens. However, although their ratings of perceived exertion were lower, the participants worked at a much higher exercise intensity than the instructors (76 +/- 1 vs 62 +/- 2% VO2max). As a result they attained a higher respiratory exchange ratio (0.96 vs 0.90), rectal temperature (38.62 vs 38.12 degrees C), and blood levels of glucose (5.70 vs 4.95 mmol.l-1), lactate (3.65 vs 1.60 mmol.l-1), and norepinephrine (2656 vs 1191 pg.ml-1). We conclude that both intensity and physiological response to aerobics are individual specific not regimen specific and that participants consistently underestimate their level of performance. PMID:7968422

  8. Rituximab and new regimens for indolent lymphoma: a brief update from 2012 ASCO Annual Meeting

    Directory of Open Access Journals (Sweden)

    Zhao Jiangning

    2012-08-01

    Full Text Available Abstract Indolent lymphoma (IL, the second most common lymphoma, remains incurable with chemotherapy alone. While R-CHOP (rituximab, cyclophosphamide, doxorubicin, vincristine, prednisone remains the standard frontline regimen for diffuse Large B –cell lymphoma, the optimal chemotherapy regimen for frontline therapy of advanced IL remains uncertain. FCR (fludarabine, cyclophosphamide, rituximab has been shown to be better than fludarabine alone and fludarabine plus cyclophosphamide for IL. In FOLL05 trial, R-CHOP was compared with R-CVP (cyclophosphamide, vincristine, prednisone and R-FM (fludarabine, mitoxantrone. The study showed that R-CHOP appears to have the best risk-benefit ratio for IL. The StiL NHL1 trial showed that BR (bendamustine, rituximab has longer progression free survival and is better tolerated than R-CHOP. Long-term complications with secondary malignancies between the two regimens appear to be comparable. In this review, new combination regimens reported at 2012 ASCO annual meeting were evaluated for frontline and salvage therapy of indolent lymphoma.

  9. Evidence-Based Nursing of the 3C Therapeutic Regimen for Type 1 Diabetes.

    Science.gov (United States)

    Wu, Jianya; Zou, Ling

    2015-05-01

    The aim of this study is to explore the efficacy of the 3C therapeutic regimen for type 1 diabetes. Thirty-nine patients with type 1 diabetes, who were hospitalized from January 2013 to April 2014, were included to receive 3C therapeutic regimen. Evidence-based nursing was performed in the treatment period and the efficacy was observed 6 days after therapy. Six days after the administration of the 3C therapeutic regimen, the fasting glucose levels in all 39 patients were controlled to be 4.4-6.0 mmol/L and 2h-postprandial glucose levels to be 4.4-7.8 mmol/L. Three patients had a glucose level <3.9 mmol/L, which was corrected after adjusting the dose of insulin infusion. Evidence-based nursing was provided in the treatment period and no nursing-associated complication occurred. All patients were satisfied with the nursing service. The efficacy of the 3C therapeutic regimen for type 1 diabetes is satisfactory. The evidence-based nursing can help to ensure the efficacy and improve the quality of nursing service. PMID:25424358

  10. Individualized Ranibizumab Regimen Driven by Stabilization Criteria for Central Retinal Vein Occlusion

    DEFF Research Database (Denmark)

    Larsen, Michael; Waldstein, Sebastian M; Boscia, Francesco;

    2016-01-01

    PURPOSE: To assess the 12-month efficacy and safety profile of an individualized regimen of ranibizumab 0.5 mg driven by stabilization criteria in patients with macular edema secondary to central retinal vein occlusion (CRVO). DESIGN: A 24-month, prospective, open-label, single-arm, multicenter s...

  11. Outcomes of Patients With Burkitt Lymphoma Older Than Age 40 Treated With Intensive Chemotherapeutic Regimens

    NARCIS (Netherlands)

    Kelly, Jennifer L.; Toothaker, Stephen R.; Ciminello, Lauren; Hoelzer, Dieter; Holte, Harald; LaCasce, Ann S.; Mead, Graham; Thomas, Deborah; Van Imhoff, Gustaaf W.; Kahl, Brad S.; Cheson, Bruce D.; Magrath, Ian T.; Fisher, Richard I.; Friedberg, Jonathan W.

    2009-01-01

    Burkitt lymphoma is a highly curable disorder when treated with modern intensive chemotherapy regimens. The majority of adult patients with Burkitt lymphoma in the United States are over age 40 years. Older patients have historically been underrepresented in published clinical trials of modern inten

  12. A Patient Education Program to Improve Adherence Rates with Antituberculosis Drug Regimens.

    Science.gov (United States)

    Morisky, Donald E.; And Others

    1990-01-01

    An incentive scheme to reward positive health behaviors (adherence to antituberculosis drug regimens) was tested with 88 active and 117 preventive patients randomly assigned to intervention and control groups. Preventive patients who received incentives were significantly more likely to continue care and had higher adherence levels. Actives showed…

  13. Increased risk of breast cancer following different regimens of hormone replacement therapy frequently used in Europe

    DEFF Research Database (Denmark)

    Stahlberg, Claudia; Pedersen, Anette Tønnes; Lynge, Elsebeth;

    2004-01-01

    Epidemiologic studies have shown an increased risk of breast cancer following hormone replacement therapy (HRT). The aim of this study was to investigate whether different treatment regimens or the androgenecity of progestins influence the risk of breast cancer differently. The Danish Nurse Cohort...

  14. Plasma concentrations of caspofungin at two different dosage regimens in a patient with hepatic dysfunction

    NARCIS (Netherlands)

    van der Elst, K. C. M.; Bruggemann, R. J. M.; Rodgers, M. G. G.; Alffenaar, J. W. C.

    2012-01-01

    The currently recommended dosage regimen of caspofungin (50 mg/day) was developed for patients with invasive candidiasis. With invasive aspergillosis, successful outcomes occur in less than half the patients. We evaluate the pharmacokinetics in a patient with elevated liver enzyme levels after liver

  15. Comparative Study on Three Chemotherapeutic Regimens for the Treatment of Advanced Epithelial Ovarian Cancer

    Institute of Scientific and Technical Information of China (English)

    2000-01-01

    To investigate the best first-line chemotherapy regimen for the treatment of advanced epithelial ovarian cancer (AEOC), the efficacy of three chemotherapy regimens for treatment of the patients with AEOC in our hospital during Jan. 1992- Jan. 1999 was retrospectively analyzed. The therapeutic effects were compared with the supplement of Melphalan + Hexamethylme (PAM + HMM), cisplatin + adriamycin +cyclophosphamide or isofamide (PAC) or cisplatin + cyclophosphamide or isofamide (PC), Taxol+cisplatin (TP) combined chemotherapy after cytoreductive surgery. The results showed that the overall effective rate of TP was significantly higher than that of PAM+ HMM (P<0. 05); The complete remission rate of TP was significantly higher than that of PAM+ HMM and PAC or PC (all P<0.05);The 2-year survival rate free of tumor of TP was obviously higher than that of PAM+HMM and PAC or PC(all P<0. 05). It was concluded that the therapeutic effect of TP regimen in the treatment of AEOC was better than PAM +HMM and PAC or PC and TP regimen could be recommended currently as the preferred first-line one for the treatment of AEOC.

  16. Effects of an Aerobic Rowing Training Regimen in Young Adults with Down Syndrome.

    Science.gov (United States)

    Varela, Ana Maria; Sardinha, Luis Bettencount; Pitetti, Kenneth H.

    2001-01-01

    Eight young adult males with Down syndrome received a 16-week rowing ergometry training regimen. Following training, no changes in cardiovascular fitness were found but participants did achieve significantly higher levels of work performance on both treadmill and rowing ergometer tests than did a control group. (Contains references.) (Author/DB)

  17. Treatment-time regimen of hypertension medications significantly affects ambulatory blood pressure and clinical characteristics of patients with resistant hypertension.

    Science.gov (United States)

    Hermida, Ramón C; Ríos, María T; Crespo, Juan J; Moyá, Ana; Domínguez-Sardiña, Manuel; Otero, Alfonso; Sánchez, Juan J; Mojón, Artemio; Fernández, José R; Ayala, Diana E

    2013-03-01

    Patients with resistant hypertension (RH) are at greater risk for stroke, renal insufficiency, and cardiovascular disease (CVD) events than are those for whom blood pressure (BP) is responsive to and well controlled by therapeutic interventions. Although all chronotherapy trials have compared the effects on BP regulation of full daily doses of medications when ingested in the morning versus at bedtime, prescription of the same medications in divided doses twice daily (BID) is frequent. Here, we investigated the influence of hypertension treatment-time regimen on the circadian BP pattern, degree of BP control, and relevant clinical and laboratory medicine parameters of RH patients evaluated by 48-h ambulatory BP monitoring (ABPM). This cross-sectional study evaluated 2899 such patients (1701 men/1198 women), 64.2 ± 11.8 (mean ± SD) yrs of age, enrolled in the Hygia Project. Among the participants, 1084 were ingesting all hypertension medications upon awakening (upon-awakening regimen), 1436 patients were ingesting the full daily dose of ≥1 of them at bedtime (bedtime regimen), and 379 were ingesting split doses of ≥1 medications BID upon awakening and at bedtime (BID regimen). Patients of the bedtime regimen compared with the other two treatment-time regimens had lower likelihood of microalbuminuria and chronic kidney disease; significantly lower albumin/creatinine ratio, glucose, total cholesterol, and low-density lipoprotein (LDL) cholesterol; plus higher estimated glomerular filtration rate and high-density lipoprotein (HDL) cholesterol. The bedtime regimen was also significantly associated with lower asleep systolic (SBP) and diastolic (DBP) BP means than the upon-awakening and BID regimens. The sleep-time relative SBP and DBP decline was significantly attenuated by the upon-awakening and BID regimens (p treatment-time regimen groups (80.5% and 77.3%, respectively) than in the bedtime regimen (54.4%; p treatment regimens, compared with the

  18. 46 CFR 111.15-3 - Battery categories.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Battery categories. 111.15-3 Section 111.15-3 Shipping... REQUIREMENTS Storage Batteries and Battery Chargers: Construction and Installation § 111.15-3 Battery categories. (a) A battery installation is classified as one of three types, based upon power output of...

  19. 40 CFR 98.80 - Definition of the source category.

    Science.gov (United States)

    2010-07-01

    ... (CONTINUED) MANDATORY GREENHOUSE GAS REPORTING Cement Production § 98.80 Definition of the source category. The cement production source category consists of each kiln and each in-line kiln/raw mill at any portland cement manufacturing facility including alkali bypasses, and includes kilns and in-line...

  20. 40 CFR 98.260 - Definition of the source category.

    Science.gov (United States)

    2010-07-01

    ... the production unit or units identified by an individual identification number in an operating permit... (CONTINUED) MANDATORY GREENHOUSE GAS REPORTING Phosphoric Acid Production § 98.260 Definition of the source category. The phosphoric acid production source category consists of facilities with a...

  1. Semantic categories in the indigenous languages of Brazil

    NARCIS (Netherlands)

    K. Hengeveld; M.L. Braga; E. de Melo Barbosa; J. Silveira Coriolano; J. Jezuino da Costa; M. de Souza Martins; D. Leite de Oliveira; V. Maciel de Oliveira; L. Gomes Pereira; L. Santana; C.L. do Carmo Santos; V. dos Ramos Soares

    2012-01-01

    This article investigates which semantic categories, as defined in Functional Discourse Grammar, formally manifest themselves in a sample of native languages of Brazil, and the extent to which the distribution of these manifestations across categories can be described systematically in terms of impl

  2. 40 CFR 98.150 - Definition of the source category.

    Science.gov (United States)

    2010-07-01

    ....150 Section 98.150 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) MANDATORY GREENHOUSE GAS REPORTING HCFC-22 Production and HFC-23 Destruction § 98.150 Definition of the source category. The HCFC-22 production and HFC-23 destruction source category consists...

  3. The Quotient Category of a Graded Morita-Takeuchi Context

    Institute of Scientific and Technical Information of China (English)

    F. CASTA(N)O IGLESIAS; C. N(A)ST(A)SESCU

    2006-01-01

    In this paper, we offer a graded equivalence between the quotient categories defined by any graded Morita Takeuchi context via certain modifications of the graded cotensor functors. As a consequence, we show a commutative diagram that establish the relation between the closed objects of the categories grC and MC, where C is a graded coalgebra.

  4. Skew category algebras associated with partially defined dynamical systems

    DEFF Research Database (Denmark)

    Lundström, Patrik; Öinert, Per Johan

    2012-01-01

    We introduce partially defined dynamical systems defined on a topological space. To each such system we associate a functor s from a category G to Topop and show that it defines what we call a skew category algebra A ⋊σ G. We study the connection between topological freeness of s and, on the one ...

  5. Rule-Based Category Learning in Down Syndrome

    Science.gov (United States)

    Phillips, B. Allyson; Conners, Frances A.; Merrill, Edward; Klinger, Mark R.

    2014-01-01

    Rule-based category learning was examined in youths with Down syndrome (DS), youths with intellectual disability (ID), and typically developing (TD) youths. Two tasks measured category learning: the Modified Card Sort task (MCST) and the Concept Formation test of the Woodcock-Johnson-III (Woodcock, McGrew, & Mather, 2001). In regression-based…

  6. Clustering and classification of music using interval categories

    NARCIS (Netherlands)

    A. Honingh; R. Bod

    2011-01-01

    We present a novel approach to clustering and classification of music, based on the concept of interval categories. Six interval categories exist, each with its own musical character. A piece of music can be represented by six numbers, reflecting the percentages of occurrences of each interval categ

  7. 40 CFR 98.420 - Definition of the source category.

    Science.gov (United States)

    2010-07-01

    ... (CONTINUED) MANDATORY GREENHOUSE GAS REPORTING Suppliers of Carbon Dioxide § 98.420 Definition of the source category. (a) The carbon dioxide (CO2) supplier source category consists of the following: (1) Facilities with production process units that capture a CO2 stream for purposes of supplying CO2 for...

  8. 28 CFR 524.72 - CIM assignment categories.

    Science.gov (United States)

    2010-07-01

    .... Factors to consider in classifying an individual to this assignment include, but are not limited to... 28 Judicial Administration 2 2010-07-01 2010-07-01 false CIM assignment categories. 524.72 Section... assignment categories. CIM cases are classified according to the following assignments: (a) Witness...

  9. Closure Operators and Closure Systems on Quantaloid-Enriched Categories

    Institute of Scientific and Technical Information of China (English)

    Min LIU; Bin ZHAO

    2013-01-01

    In this paper,we introduce the fundamental notions of closure operator and closure system in the framework of quantaloid-enriched category.We mainly discuss the relationship between closure operators and adjunctions and establish the one-to-one correspondence between closure operators and closure systems on quantaloid-enriched categories.

  10. Novel Kivexa-based regimens in early courses of treatment for HIV infection

    Directory of Open Access Journals (Sweden)

    B Conway

    2012-11-01

    Full Text Available Background: As the long-term efficacy of antiretroviral therapy regimens is confirmed, we need to identify additional combinations with long-term safety and potency, while also favoring simplicity of administration. In this light, we have undertaken a review of the use of abacavir/lamivudine (Kivexa, KVX-based regimens using integrase or CCR5 inhibitors as the third agent. Methods: A retrospective chart review was undertaken, with informed patient consent. We identified all the patients in whom KVX was prescribed (following appropriate HLA-B5701 screening with either raltegravir (RGV or maraviroc (MVC as initial therapy or as a switch from another regimen for reasons other than virologic failure. Virologic efficacy over 48 weeks was evaluated, along with specific drug-associated toxicity, adherence, and regimen modifications. Results: A total of 38 patients (5 women were evaluated, 24 on KVX/RGV, 13 on KVX/MVC, 1 on KVX/RGV/MVC. This was used as initial therapy in drug-naïve subjects in three cases, and was selected as a modification of previous (current or not therapy in 35 cases. Switches included replacement of the third agent with RGV or MVC (n=13, replacement of the NRTI backbone with KVX (n=13 or both. In all cases, the change was implemented to address a current or previous medication-associated toxicity, most commonly to address jaundice (n=8, diarrhea (n=5 or reduced renal function (n=5. Patients were predominantly MSMs (n=17 or IDUs (n=13 with a mean baseline CD4 cell count of 363 cells/mm3, and plasma viral load of 46407 copies/mL (20 with full suppression at time of study entry. At 48 weeks, 34/38 (89% achieved or maintained full suppression, with a mean CD4 count of 553 cells/mm3. Virologic failure with the development of the M184V mutation was observed in 3/4 non-suppressed patients, and a loss of CCR5 tropism and RGV resistance were observed in one case each, all in the context of reduced adherence. There were no treatment

  11. Impact of adverse events of antiretroviral treatment on regimen change and mortality in Ugandan children

    Directory of Open Access Journals (Sweden)

    Ntambwe Malangu

    2010-03-01

    Full Text Available Background: Outcomes of antiretroviral treatment have been documented in both developed and developing countries. It has been reported consistently that the treatment is associated with many adverse events. However, little is known about their impact on the quality of life, clinical management, and survival in children aged less than 6 years in Uganda.Objectives: The purpose of this study was to determine the prevalence of the adverse events of antiretroviral treatment, their impact on mortality and the change in regimens prescribed to children treated at Mildway Centre in Uganda.Method: A retrospective chart review was performed for children younger than 6 years, treated since the Mildway Centre was opened in 1999. In order to achieve a larger sample, the records of children treated from January 2000 to July 2005 were included in the study. A pre-tested data collection form was used to collate socio-demographic and clinical data of the patients. These included the documented adverse events, causes of death, stage of infection, duration of treatment, regimen prescribed, year of enrolment into the treatment program, as well as whether or not they were still alive. Descriptive statistics were used in the analysis of data.Results: Of the 179 children, the majority were males and had a median age of 4 years. The majority (58.8% of children had suffered from severe immune depression since they met the WHO clinical stage III and IV, 73.8% had a baseline CD4T of less than 15%. Four regimens were prescribed to the children. The most common was a regimen containing zidovudine, lamivudine, and nevirapine (34.6%, followed by a regimen containing stavudine, lamivudine, and nevirapine (27.9%. Eleven children (6.1% had their regimen changed, of which six (54.5% were due to adverse events. The prevalence of adverse events was 8%; of the 14 documented adverse events, the most common were severe anaemia (3, vomiting (3, and skin rashes (3. After 12 months on

  12. Relational categories as a bridge between cognitive and educational research.

    Science.gov (United States)

    Goldwater, Micah B; Schalk, Lennart

    2016-07-01

    Both cognitive and educational psychology literature strive to investigate human category and concept learning. However, both literatures focus on different phenomena and often use different methodologies. We identify and discuss commonalities and differences between the literatures. This literature comparison reveals that research on relational category learning offers a promising avenue to integration. We suggest that this integration would be especially beneficial to advance our understanding of conceptual change essentially, how complex scientific concepts and categories are acquired and developed in educational contexts elaborating or correcting students' prior conceptions. Furthermore, the focus on relational categories allows us to provide an integrative discussion on how recent lines of research on analogy, memory and category learning, and knowledge restructuring relate to and can inform education. In general, this article advocates the complementary nature of cognitive and educational psychology and identifies viable, and potentially synergistic paths for future research. (PsycINFO Database Record

  13. On the homotopy type of certain cobordism categories of surfaces

    CERN Document Server

    Raptis, George

    2010-01-01

    Let $\\mathcal{A}_{g,d}$ be the (topological) cobordism category of orientable surfaces whose connected components are homeomorphic to either $S^1 \\times I$ with one incoming and one outgoing boundary component or the surface $\\Sigma_{g,d}$ of genus $g$ and $d$ boundary components that are all incoming. In this paper, we study the homotopy type of the classifying space of the cobordism categories $\\mathcal{A}_{g,d}$ and the associated (ordinary) cobordism categories of their connected components $\\mathbb{A}_d$. $\\mathcal{A}_{0,2}$ is the cobordism category of complex annuli that was considered by Costello and $\\mathbb{A}_2$ is homotopy equivalent with the positive boundary 1-dimensional embedded cobordism category of Galatius-Madsen-Tillmann-Weiss. We identify their homotopy type with the infinite loop spaces associated with certain Thom spectra.

  14. On the Grothendieck rings of equivariant fusion categories

    Energy Technology Data Exchange (ETDEWEB)

    Burciu, Sebastian, E-mail: sebastian.burciu@imar.ro [Institute of Mathematics “Simion Stoilow” of the Romanian Academy, Research Unit 5, P.O. Box 1-764, RO-014700 Bucharest (Romania)

    2015-07-15

    In this paper, we describe a Mackey type decomposition for group actions on abelian categories. This allows us to define new Mackey functors which associates to any subgroup the K-theory of the corresponding equivariantized abelian category. In the case of an action by tensor autoequivalences, the Mackey functor at the level of Grothendieck rings has a Green functor structure. As an application we give a description of the Grothendieck rings of equivariantized fusion categories under group actions by tensor autoequivalences on graded fusion categories. In this settings, a new formula for the tensor product of any two simple objects of an equivariantized fusion category is given, simplifying the fusion formula from Burciu and Natale [J. Math. Phys. 54, 013511 (2013)].

  15. On the Grothendieck rings of equivariant fusion categories

    Science.gov (United States)

    Burciu, Sebastian

    2015-07-01

    In this paper, we describe a Mackey type decomposition for group actions on abelian categories. This allows us to define new Mackey functors which associates to any subgroup the K-theory of the corresponding equivariantized abelian category. In the case of an action by tensor autoequivalences, the Mackey functor at the level of Grothendieck rings has a Green functor structure. As an application we give a description of the Grothendieck rings of equivariantized fusion categories under group actions by tensor autoequivalences on graded fusion categories. In this settings, a new formula for the tensor product of any two simple objects of an equivariantized fusion category is given, simplifying the fusion formula from Burciu and Natale [J. Math. Phys. 54, 013511 (2013)].

  16. Client contribution in negotiations on employability – categories revised?

    DEFF Research Database (Denmark)

    Eskelinen, L.; Olesen, Søren Peter; Caswell, D.

    2010-01-01

    worker–client talk: how the category unemployed is shaped and ‘translated’ when the client negotiates her situation with the social worker. Two types of category revisions are identified. First, the employability of the client, rather than her unemployment situation, is the issue under negotiation......In this article, we explore how the institutional category ‘unemployed’ is specified in everyday practice when implementing an active employment policy. We illustrate the process of categorisation as an aspect of the in situ positioning and self-representation of the client by examining one social....... Second, the client introduces new categories that are compatible with the demands of the employment system. She contributes by drawing on discursive resources related to the category of ‘active job seeker’ but does this with an own agenda of looking for a suitable job. The analysis elucidates the client’s...

  17. Variation of geometric invariant theory quotients and derived categories

    CERN Document Server

    Ballard, Matthew; Katzarkov, Ludmil

    2012-01-01

    We develop a framework for studying the relationship between bounded derived categories of coherent sheaves on smooth global quotient stacks related by variations of the linearization in geometric invariant theory. We extend this framework to cover derived categories of coherent (matrix) factorizations when the stacks are equipped with potentials. Under assumptions on the variation, we provide simple numerical conditions for the derived categories to be related by semi-orthogonal decompositions. We also describe the complementary components in these semi-orthogonal decompositions. The results are applied to obtain a simple inductive description of derived categories of coherent sheaves on smooth and projective toric Deligne-Mumford stacks. We also show how the semi-orthogonal decompositions for derived categories of coherent factorizations fully generalize the commutative case of Orlov's $\\sigma$-model/Landau-Ginzburg theorem. In addition, we present examples to show close ties with Homological Projective Dua...

  18. Relational categories as a bridge between cognitive and educational research.

    Science.gov (United States)

    Goldwater, Micah B; Schalk, Lennart

    2016-07-01

    Both cognitive and educational psychology literature strive to investigate human category and concept learning. However, both literatures focus on different phenomena and often use different methodologies. We identify and discuss commonalities and differences between the literatures. This literature comparison reveals that research on relational category learning offers a promising avenue to integration. We suggest that this integration would be especially beneficial to advance our understanding of conceptual change essentially, how complex scientific concepts and categories are acquired and developed in educational contexts elaborating or correcting students' prior conceptions. Furthermore, the focus on relational categories allows us to provide an integrative discussion on how recent lines of research on analogy, memory and category learning, and knowledge restructuring relate to and can inform education. In general, this article advocates the complementary nature of cognitive and educational psychology and identifies viable, and potentially synergistic paths for future research. (PsycINFO Database Record PMID:26950007

  19. A Segment-Level Model of Category Volume and Brand Choice

    OpenAIRE

    William R Dillon; Sunil Gupta

    1996-01-01

    It is an everyday marketplace occurrence that brands lose and gain share. However, a brand's sales gain or loss can be attributable to very different factors, and thus understanding the sources of sales gain or loss would seem to be an important aspect of a brand manager's job. The primary purpose of this research is to develop a model that can answer the following questions: (i) What are the sources of gain or loss of a brand's sales due to category volume and brand switching? (ii) What cons...

  20. Categorical perception of color: evidence from secondary category boundary.

    Science.gov (United States)

    Al-Rasheed, Abdulrahman Saud

    2015-01-01

    Despite a plethora of behavioral research exploring the phenomenon of color categorical perception (CP) known as "better discrimination between pair of colors stimuli from different categories and pair of colors stimuli from the same category even when the stimulus differences between the pairs of stimuli are equal", most of the evidence for the CP of color was derived from Roman or top-to-down script readers and very rarely from right-to-left script readers in primary category. To date, no studies of color CP have been conducted on right-to-left script readers in secondary category boundary to support this theory. Three experiments have been conducted: Experiments 1 and 2 established the Arabic blue-purple secondary category boundary, and Experiment 3 tested the CP of color in the blue-purple category boundary. Sixty participants (30 men and 30 women) took part in this study. All spoke Arabic as their first language, and all were undergraduate or postgraduate students at King Saud University. Their ages ranged from 18-35 years with a mean age of 21.9 years (SD =5.2). The result indicated that for Experiments 1 and 2, it appeared that the Arabic blue-purple category boundary was approximately 10PB and it is in the same location as for English. For Experiment 3, reaction times in the between-categories condition were significantly faster than those in the within-category condition; this suggested that CP of color was shown in the Arabic's blue-purple secondary category boundary. PMID:26648764

  1. A Combination Regimen Design Program Based on Pharmacodynamic Target Setting for Childhood Tuberculosis: Design Rules for the Playground

    Science.gov (United States)

    Srivastava, Shashikant; Deshpande, Devyani; Pasipanodya, Jotam G.; Thomas, Tania; Swaminathan, Soumya; Nuermberger, Eric; Gumbo, Tawanda

    2016-01-01

    Children with tuberculosis are treated with drug regimens copied from adults despite significant differences in antibiotic pharmacokinetics, pathology, and the microbial burden between childhood and adult tuberculosis. We sought to develop a new and effective oral treatment regimen specific to children of different ages. We investigated and validated the concept that target drug concentrations associated with therapy failure and death in children are different from those of adults. On that basis, we proposed a 4-step program to rapidly develop treatment regimens for children. First, target drug concentrations for optimal efficacy are derived from preclinical models of disseminated tuberculosis that recapitulate pediatric pharmacokinetics, starting with monotherapy. Second, 2-drug combinations were examined for zones of synergy, antagonism, and additivity based on a whole exposure–response surface. Exposures associated with additivity or synergy were then combined and the regimen was compared to standard therapy. Third, several exposures of the third drug were added, and a 3-drug regimen was identified based on kill slopes in comparison to standard therapy. Fourth, computer-aided clinical trial simulations are used to identify clinical doses that achieve these kill rates in children in different age groups. The proposed program led to the development of a 3-drug combination regimen for children from scratch, independent of adult regimens, in <2 years. The regimens and doses can be tested in animal models and in clinical trials. PMID:27742637

  2. Beneficial Effects of an Alternating High- Fat Dietary Regimen on Systemic Insulin Resistance, Hepatic and Renal Inflammation and Renal Function

    NARCIS (Netherlands)

    Yakala, Gopala K.; van der Heijden, Roel; Molema, Grietje; Schipper, Martin; Wielinga, Peter Y.; Kleemann, Robert; Kooistra, Teake; Heeringa, Peter

    2012-01-01

    Background: An Alternating high-cholesterol dietary regimen has proven to be beneficial when compared to daily high-cholesterol feeding. In the current study we explored whether the same strategy is applicable to a high-fat dietary regimen. Objective: To investigate whether an alternating high-fat d

  3. The Role of Health Beliefs in the Regimen Adherence and Metabolic Control of Adolescents and Adults with Diabetes Mellitus.

    Science.gov (United States)

    Brownlee-Duffeck, Martha; And Others

    1987-01-01

    Examined the role of health beliefs in diabetic regimen adherence and metabolic control. Health beliefs accounted for a statistically significant portion of the variance in both. For older patients perceived benefits of adhering to the diabetic regimen was most significant. For younger patients costs figured prominently in adherence and perceived…

  4. CT colonography: optimisation, diagnostic performance and patient acceptability of reduced-laxative regimens using barium-based faecal tagging

    Energy Technology Data Exchange (ETDEWEB)

    Taylor, Stuart A. [University College Hospital, Department of Specialist Radiology, London (United Kingdom); University College Hospital, Department of Imaging, London (United Kingdom); Slater, Andrew [John Radcliffe Hospital, Oxford (United Kingdom); Burling, David N.; Tam, Emily; Gartner, Louise; Scarth, Julia; Bassett, Paul [St Mark' s Hospital, Northwick Park (United Kingdom); Greenhalgh, Rebecca; Pearce, Robert; Halligan, Steve [University College Hospital, Department of Specialist Radiology, London (United Kingdom)

    2008-01-15

    To establish the optimum barium-based reduced-laxative tagging regimen prior to CT colonography (CTC). Ninety-five subjects underwent reduced-laxative (13 g senna/18 g magnesium citrate) CTC prior to same-day colonoscopy and were randomised to one of four tagging regimens using 20 ml 40%w/v barium sulphate: regimen A: four doses, B: three doses, C: three doses plus 220 ml 2.1% barium sulphate, or D: three doses plus 15 ml diatriazoate megluamine. Patient experience was assessed immediately after CTC and 1 week later. Two radiologists graded residual stool (1: none/scattered to 4: >50% circumference) and tagging efficacy for stool (1: untagged to 5: 100% tagged) and fluid (1: untagged, 2: layered, 3: tagged), noting the HU of tagged fluid. Preparation was good (76-94% segments graded 1), although best for regimen D (P = 0.02). Across all regimens, stool tagging quality was high (mean 3.7-4.5) and not significantly different among regimens. The HU of layered tagged fluid was higher for regimens C/D than A/B (P = 0.002). Detection of cancer (n = 2), polyps {>=}6 mm (n = 21), and {<=}5 mm (n = 72) was 100, 81 and 32% respectively, with only four false positives {>=}6 mm. Reduced preparation was tolerated better than full endoscopic preparation by 61%. Reduced-laxative CTC with three doses of 20 ml 40% barium sulphate is as effective as more complex regimens, retaining adequate diagnostic accuracy. (orig.)

  5. Adherence to Medical Regimens: Understanding the Effects of Cognitive Appraisal, Quality of Life, and Perceived Family Resiliency

    Science.gov (United States)

    Frain, Michael P.; Bishop, Malachy; Tschopp, Molly K.; Ferrin, Micheal J.; Frain, Judy

    2009-01-01

    Adherence studies have taken center stage due to the life-threatening risks associated with nonadherence to highly active antiretroviral therapy (HAART) regimens for people with HIV/AIDS. This study examines adherence through self-report of individuals on HAART regimens in a manner to account for demand characteristic bias, while still attempting…

  6. A rare phenomenon of atypical lipodystrophy in a patient on HAART in the absence of a protease inhibitor regimen

    Directory of Open Access Journals (Sweden)

    Mohammed Mitha

    2010-11-01

    Full Text Available Lipodystrophy is a complication of patients on antiretroviral (ARV medication; however, it is commonest in patients on long-term treatment and those on protease inhibitor (PI regimens.1,2 We present a rare case of atypical lipodystrophy, presenting as multiple subcutaneous lipomas, in a patient who had been on a non-PI ART regimen for 6 weeks.

  7. safe induction of labour with low-dose misoprostol, but less effective than the conventional dinoprostone regimen

    DEFF Research Database (Denmark)

    Petersen, Jesper Friis; Bergholt, Thomas; Løkkegaard, Ellen Christine L

    2013-01-01

    Off-label use of the prostaglandin-E1 analogue misoprostol has become standard practice when inducing labour. In Denmark, a low-dosage misoprostol regimen is common. The regimen consists of one 25 µg application on the first day of induction. The registered prostaglandin-E2 analogue dinoprostone...

  8. Beneficial Effects of an Alternating High- Fat Dietary Regimen on Systemic Insulin Resistance, Hepatic and Renal Inflammation and Renal Function

    NARCIS (Netherlands)

    Yakala, G.K.; Heijden, R. van der; Molema, G.; Schipper, M.; Wielinga, P.Y.; Kleemann, R.; Kooistra, T.; Heeringa, P.

    2012-01-01

    Background: An Alternating high- cholesterol dietary regimen has proven to be beneficial when compared to daily high- cholesterol feeding. In the current study we explored whether the same strategy is applicable to a high- fat dietary regimen. Objective: To investigate whether an alternating high- f

  9. Association of Hypoglycemic Treatment Regimens With Cardiovascular Outcomes in Overweight and Obese Subjects With Type 2 Diabetes

    DEFF Research Database (Denmark)

    Ghotbi, Adam Ali; Køber, Lars; Finer, Nick;

    2013-01-01

    To assess the association of hypoglycemic treatment regimens with cardiovascular adverse events and mortality in a large population of type 2 diabetic patients at increased cardiovascular risk.......To assess the association of hypoglycemic treatment regimens with cardiovascular adverse events and mortality in a large population of type 2 diabetic patients at increased cardiovascular risk....

  10. Efficacy of extended DOTS category I chemotherapy in spinal tuberculosis based on MRI-based healed status

    Directory of Open Access Journals (Sweden)

    Anil K Jain

    2012-01-01

    Full Text Available Background: Duration of treatment in tuberculosis of spine has always been debatable in the absence of marker of healing. The objective of the study was to evaluate the efficacy of extended DOTS regimen (2 months of intensive phase and 6 months of continuation phase as recommended by WHO, by using MRI observations as the healing marker. Materials and Methods: 51 (Group A -28 prospective and Group B- 23 retrospective patients of spine TB with mean age of 26.8 years (range 15-54 years diagnosed clinico radiologically/imaging (n=36, histopathology or by PCR (n=15 were enrolled for the study. They were treated by extended DOTS regimen (2 months of HRZE and 6 months of HR administered alternate day. The serial blood investigations and X-rays were done every 2 months. Contrast MRI was done at the end of 8 months and healing changes were recorded. Criteria of healing on the basis of MRI being: complete resolution of pre and paravertebral collections, resolution of marrow edema of vertebral body (VB, replacement of marrow edema by fat or by calcification suggested by iso- intense T1 and T2 weighted images in contrast enhanced MRI. Patients with non healed status, but, responding lesion on MRI after 8 months of treatment were continued on INH and rifampicin alternate day and contrast MRI was done subsequently at 12 months and 18 months till the healed status was achieved . Results: 9 patients had paraplegia and required surgical intervention out of which 1 did not recover neurologically. All patients have completed 8 months of extended DOTS regimen, n=18 achieved healed status and duration of treatment was extended in rest (n=33 5 were declared healed after 12 months, 8 after 18 months and one after 36 months of treatment, thus 32 were declared healed at varying periods. Conclusion: 35.2% patients demonstrate MRI based healed vertebral lesion at the end of 8 months of extended category 1 DOTS regimen. It is unscientific to stop the ATT by fixed time

  11. Rituximab in Combination with CHOP, an Effective and Well-tolerated Salvage Regimen for Diffuse Large B-Cell Lymphoma

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    OBJECTIVE To evaluate the clinical effect of the R-CHOP regimen (rituximab in combination with cyclophosphamide, epirubicin, vincristine and prednisone) in treating refractory or relapsed diffuse large B-cell lymphoma (DLBCL), as a salvage therapy for DLBCL.METHODS Eighteen patients with refractory or relapsed DLBCL who were treated with the R-CHOP regimen from 2001 to 2006 in hospitals in Jilin Province were analyzed retrospectively. The response rate, change of serum lactate dehydrogenase (LDH), time to progression (TTP) and toxicity were observed.RESULTS The R-CHOP regimen can achieve a higher response rate, decrease serum LDH to a larger extent and obtain longer TTP than a conventional secondary regimen. The main adverse effects were similar to conventional chemotherapy.CONCLUSION The R-CHOP regimen is one of the most effective secondary therapies for DLBCL.

  12. Talker-specific influences on phonetic category structure.

    Science.gov (United States)

    Theodore, Rachel M; Myers, Emily B; Lomibao, Janice A

    2015-08-01

    A primary goal for models of speech perception is to describe how listeners achieve reliable comprehension given a lack of invariance between the acoustic signal and individual speech sounds. For example, individual talkers differ in how they implement phonetic properties of speech. Research suggests that listeners attain perceptual constancy by processing acoustic variation categorically while maintaining graded internal category structure. Moreover, listeners will use lexical information to modify category boundaries to learn to interpret a talker's ambiguous productions. The current work examines perceptual learning for talker differences that signal well-defined, unambiguous category members. Speech synthesis techniques were used to differentially manipulate talkers' characteristic productions of the stop voicing contrast for two groups of listeners. Following exposure to the talkers, internal category structure and category boundary were examined. The results showed that listeners dynamically adjusted internal category structure to be centered on experience with the talker's voice, but the category boundary remained fixed. These patterns were observed for words presented during training as well as novel lexical items. These findings point to input-driven constraints on functional plasticity within the language architecture, which may help to explain how listeners maintain stability of linguistic knowledge while simultaneously demonstrating flexibility for phonetic representations. PMID:26328722

  13. Response processes in information-integration category learning.

    Science.gov (United States)

    Spiering, Brian J; Ashby, F Gregory

    2008-09-01

    Much recent evidence suggests that human category learning is mediated by multiple systems. Evidence suggests that at least one of these depends on procedural learning within the basal ganglia. Information-integration categorization tasks are thought to load heavily on this procedural-learning system. The results of several previous studies were interpreted to suggest that response positions are learned in information-integration tasks. This hypothesis was tested in two experiments. Experiment 1 showed that information-integration category learning was slowed but not disrupted when the spatial location of the responses varied randomly across trials. Experiment 2 showed that information-integration learning was impaired if category membership was signaled by responding to a Yes/No question and the category label had no consistent spatial location. These results suggest that information-integration category learning does not require consistent response locations. In these experiments, a consistent association between a category and a response feature was sufficient. The implication of these results for the neurobiology of information-integration category learning is discussed. PMID:18550397

  14. A Bayesian model of category-specific emotional brain responses.

    Science.gov (United States)

    Wager, Tor D; Kang, Jian; Johnson, Timothy D; Nichols, Thomas E; Satpute, Ajay B; Barrett, Lisa Feldman

    2015-04-01

    Understanding emotion is critical for a science of healthy and disordered brain function, but the neurophysiological basis of emotional experience is still poorly understood. We analyzed human brain activity patterns from 148 studies of emotion categories (2159 total participants) using a novel hierarchical Bayesian model. The model allowed us to classify which of five categories--fear, anger, disgust, sadness, or happiness--is engaged by a study with 66% accuracy (43-86% across categories). Analyses of the activity patterns encoded in the model revealed that each emotion category is associated with unique, prototypical patterns of activity across multiple brain systems including the cortex, thalamus, amygdala, and other structures. The results indicate that emotion categories are not contained within any one region or system, but are represented as configurations across multiple brain networks. The model provides a precise summary of the prototypical patterns for each emotion category, and demonstrates that a sufficient characterization of emotion categories relies on (a) differential patterns of involvement in neocortical systems that differ between humans and other species, and (b) distinctive patterns of cortical-subcortical interactions. Thus, these findings are incompatible with several contemporary theories of emotion, including those that emphasize emotion-dedicated brain systems and those that propose emotion is localized primarily in subcortical activity. They are consistent with componential and constructionist views, which propose that emotions are differentiated by a combination of perceptual, mnemonic, prospective, and motivational elements. Such brain-based models of emotion provide a foundation for new translational and clinical approaches. PMID:25853490

  15. Frobenius morphisms and stable module categories of repetitive algebras

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    Let k be the algebraic closure of a finite field F_q and A be a finite dimensional k-algebra with a Frobenius morphism F.In the present paper we establish a relation between the stable module category of the repetitive algebra  of A and that of the repetitive algebra of the fixed-point algebra A~F.As an application,it is shown that the derived category of A~F is equivalent to the subcategory of F-stable objects in the derived category of A when A has a finite global dimension.

  16. Higher-dimensional categories with finite derivation type

    CERN Document Server

    Guiraud, Yves

    2008-01-01

    The finite derivation type property is a homotopical condition on monoids. Craig Squier has proved that a monoid must satisfy it in order to admit a presentation by a finite and convergent rewriting system. We generalise the property to n-categories presented by polygraphs and we recover Squier's theorem when n is 1. However, we prove that this result does not hold anymore for categories of dimension 2 and above. We study several examples of 2-categories presented by finite convergent polygraphs, with or without the property of finite derivation type, in order to illustrate sample cases.

  17. Model category structures \\`a la Thomason on 2-Cat

    OpenAIRE

    Ara, Dimitri

    2016-01-01

    In his paper "Th\\'eories homotopiques des 2-cat\\'egories", Jonathan Chiche studies homotopy theories on 2-Cat, the category of small strict 2-categories, given by classes of weak equivalences which he calls basic localizers of 2-Cat. These basic localizers of 2-Cat are a 2-categorical generalization of the notion of a basic localizer introduced by Grothendieck in "Pursuing stacks". In this paper, we deduce from the results of Jonathan Chiche and results we have obtained with Georges Maltsinio...

  18. The divergent autoencoder (DIVA) model of category learning.

    Science.gov (United States)

    Kutrz, Kenneth J

    2007-08-01

    A novel theoretical approach to human category learning is proposed in which categories are represented as coordinated statistical models of the properties of the members. Key elements of the account are learning to recode inputs as task-constrained principle components and evaluating category membership in terms of model fit-that is, the fidelity of the reconstruction after recoding and decoding the stimulus. The approach is implemented as a computational model called DIVA (for DIVergent Autoencoder), an artificial neural network that uses reconstructive learning to solve N-way classification tasks. DIVA shows good qualitative fits to benchmark human learning data and provides a compelling theoretical alternative to established models. PMID:17972718

  19. Hochschild and ordinary cohomology rings of small categories

    OpenAIRE

    Xu, Fei

    2008-01-01

    Advances in Mathematics, accepted Let C be a small category and k a field. There are two interesting mathematical subjects: the category algebra kC and the classifying space |C|=BC. We study the ring homomorphism HH^*(kC) ---> H^*(|C|,k) and prove it is split surjective, using the factorization category of Quillen and certain techniques from functor cohomology theory. This generalizes the well-known theorems for groups and posets. Based on this result, we construct a seven-dimensional cate...

  20. Categories of Massless D-Branes and del Pezzo Surfaces

    CERN Document Server

    Addington, Nicolas

    2013-01-01

    In analogy with the physical concept of a massless D-brane, we define a notion of "Q-masslessness" for objects in the derived category. This is defined in terms of monodromy around singularities in the stringy Kahler moduli space and is relatively easy to study using spherical functors. We consider several examples in which del Pezzo surfaces and other rational surfaces in Calabi-Yau threefolds are contracted. For precisely the del Pezzo surfaces that can be written as hypersurfaces in weighted P3, the category of Q-massless objects is a "fractional Calabi-Yau" category of graded matrix factorizations.

  1. Radical curative efficacy of tafenoquine combination regimens in Plasmodium cynomolgi-infected Rhesus monkeys (Macaca mulatta

    Directory of Open Access Journals (Sweden)

    Kenworthy David

    2011-07-01

    Full Text Available Abstract Background Tafenoquine is an 8-aminoquinoline being developed for radical cure (blood and liver stage elimination of Plasmodium vivax. During monotherapy treatment, the compound exhibits slow parasite and fever clearance times, and toxicity in glucose-6-phosphate dehydrogenase (G6PD deficiency is a concern. Combination with other antimalarials may mitigate these concerns. Methods In 2005, the radical curative efficacy of tafenoquine combinations was investigated in Plasmodium cynomolgi-infected naïve Indian-origin Rhesus monkeys. In the first cohort, groups of two monkeys were treated with a three-day regimen of tafenoquine at different doses alone and in combination with a three-day chloroquine regimen to determine the minimum curative dose (MCD. In the second cohort, the radical curative efficacy of a single-day regimen of tafenoquine-mefloquine was compared to that of two three-day regimens comprising tafenoquine at its MCD with chloroquine or artemether-lumefantrine in groups of six monkeys. In a final cohort, the efficacy of the MCD of tafenoquine against hypnozoites alone and in combination with chloroquine was investigated in groups of six monkeys after quinine pre-treatment to eliminate asexual parasites. Plasma tafenoquine, chloroquine and desethylchloroquine concentrations were determined by LC-MS in order to compare doses of the drugs to those used clinically in humans. Results The total MCD of tafenoquine required in combination regimens for radical cure was ten-fold lower (1.8 mg/kg versus 18 mg/kg than for monotherapy. This regimen (1.8 mg/kg was equally efficacious as monotherapy or in combination with chloroquine after quinine pre-treatment to eliminate asexual stages. The same dose of (1.8 mg/kg was radically curative in combination with artemether-lumefantrine. Tafenoquine was also radically curative when combined with mefloquine. The MCD of tafenoquine monotherapy for radical cure (18 mg/kg appears to be biologically

  2. 14 CFR Appendix A to Part 91 - Category II Operations: Manual, Instruments, Equipment, and Maintenance

    Science.gov (United States)

    2010-01-01

    ... display. However, a single localizer antenna and a single glide slope antenna may be used. (2) A... aircraft. (8) Two vertical speed indicators. (9) A flight control guidance system that consists of either an automatic approach coupler or a flight director system. A flight director system must...

  3. Picture-Word Differences in Discrimination Learning: II. Effects of Conceptual Categories.

    Science.gov (United States)

    Bourne, Lyle E., Jr.; And Others

    A well established finding in the discrimination learning literature is that pictures are learned more rapidly than their associated verbal labels. It was hypothesized in this study that the usual superiority of pictures over words in a discrimination list containing same-instance repetitions would disappear in a discrimination list containing…

  4. Perceptual assimilation and categorial discrimination of American vowels by Japanese listeners

    Science.gov (United States)

    Hisagi, Miwako; Strange, Winifred; Akahane-Yamada, Reiko; Kubo, Rieko

    2005-04-01

    Best's Perception Assimilation Model predicts that relative difficulty discriminating non-native (L2) contrasts is predictable from perceived similarity of L2 segments and native (L1) segments. Japanese listeners performed a categorial discrimination task in which 9 vowel pairs (6 adjacent height pairs, 3 front-back pairs) involving 6 tokens (2 speakers/3 repetitions) of each of 8 American vowels / i, I, ɛ, æ, a, squflg, U, u/ were tested in the context of hVba disyllables. In a second task, listeners were asked to categorize all stimuli with respect to which Japanese vowel they were most similar, and to rate their goodness on a 9-point Likert scale. Overall error rates on height pairs ranged from 1 percent to 29 percent, and on front/back pairs, from 1 percent to 18 percent. The most difficult height contrasts were /U-u/ and /a-squflg/ perceptual assimilation patterns showed that these pairs were assimilated to the same Japanese vowels (Single Category or Category Goodness pattern) although /a-squflg/ were assimilated to 2-mora versus 1-mora Japanese /a/, respectively. The most difficult front/back contrast was /æ-squflg/. Surprisingly, American /i-I/ was discriminated very well and were assimilated to different Japanese vowels /i, e/, respectively. In general, perceptual assimilation patterns predicted discrimination accuracy quite well. [Work supported by NIDCD.

  5. Ego Depletion Interferes with Rule-Defined Category Learning but Not Non-Rule-Defined Category Learning

    Directory of Open Access Journals (Sweden)

    John Paul eMinda

    2015-01-01

    Full Text Available Considerable research on category learning has suggested that many cognitive and environmental factors can have a differential effect on the learning of rule-defined categories as opposed to the learning of non-rule-defined categories. Prior research has also suggested that ego depletion can temporarily reduce the capacity for executive functioning and cognitive flexibility. The present study examined whether temporarily reducing participants’ executive functioning via a resource depletion manipulation would differentially impact rule-defined and non-rule-defined category learning. Participants were either asked to write a story with no restrictions (the control condition, or without using two common letters (the ego depletion condition. Participants were then asked to learn either a set of rule-defined categories or a set of non-rule-defined categories. Resource depleted participants performed more poorly than controls on the rule-defined task, but did not differ from controls on the non-rule-defined task, suggesting that self regulatory resources are required for successful rule-defined category learning. These results lend support to multiple systems theories and clarify the role of self-regulatory resources within this theory.

  6. Non-unitary fusion categories and their doubles via endomorphisms

    CERN Document Server

    Evans, David E

    2015-01-01

    We realise non-unitary fusion categories using subfactor-like methods, and compute their quantum doubles and modular data. For concreteness we focus on generalising the Haagerup-Izumi family of Q-systems. For example, we construct endomorphism realisations of the (non-unitary) Yang-Lee model, and non-unitary analogues of one of the even subsystems of the Haagerup subfactor and of the Grossman-Snyder system. We supplement Izumi's equations for identifying the half-braidings, which were incomplete even in his Q-system setting. We conjecture a remarkably simple form for the modular S and T matrices of the doubles of these fusion categories. We would expect all of these doubles to be realised as the category of modules of a rational VOA and conformal net of factors. We expect our approach will also suffice to realise the non-semisimple tensor categories arising in logarithmic conformal field theories.

  7. 33 CFR 151.39 - Operating requirements: Category D NLS.

    Science.gov (United States)

    2010-07-01

    ... Protection to the Antarctic Treaty as it Pertains to Pollution from Ships Noxious Liquid Substance Pollution... for the operation of oceangoing ships carrying Category D NLSs in 46 CFR 153.901, 153.909,...

  8. Category 3 threshold quantities for hazard categorization of nonreactor facilities

    International Nuclear Information System (INIS)

    This document provides the information necessary to determine Hazard Category 3 threshold quantities for those isotopes of interest not listed in WHC-CM-4-46, Section 4, Table 1.''Threshold Quantities.''

  9. A Study on three categories of college students' FLA

    Institute of Scientific and Technical Information of China (English)

    Bi Ran

    2015-01-01

    The paper is concerned with an empirical study on three categories of college students' FLA. The aim is to enhance the efficiency of college English teaching and help students to improve English level.

  10. Category theoretic analysis of single-photon decision maker

    CERN Document Server

    Kim, Makoto Naruse Song-Ju; Berthel, Martin; Drezet, Aurélien; Huant, Serge; Hori, Hirokazu

    2016-01-01

    Decision making is a vital function in the era of artificial intelligence; however, its physical realizations and their theoretical fundamentals are not yet known. In our former study [Sci. Rep. 5, 513253 (2015)], we demonstrated that single photons can be used to make decisions in uncertain, dynamically changing environments. The multi-armed bandit problem was successfully solved using the dual probabilistic and particle attributes of single photons. Herein, we present the category theoretic foundation of the single-photon-based decision making, including quantitative analysis that agrees well with the experimental results. The category theoretic model unveils complex interdependencies of the entities of the subject matter in the most simplified manner, including a dynamically changing environment. In particular, the octahedral structure in triangulated categories provides a clear understanding of the underlying mechanisms of the single-photon decision maker. This is the first demonstration of a category the...

  11. 78 FR 34867 - Designation of Product Categories for Federal Procurement

    Science.gov (United States)

    2013-06-11

    ... development of new technologies, creating business and employment opportunities that enhance local, regional... corrosion removers product category, the subcategories are: stainless steel cleaners; other metal cleaners.... These are: Composite Panels--Countertops, Metal Cleaners and Corrosion Removers--Stainless...

  12. Solving the Selective Multi-Category Parallel-Servicing Problem

    DEFF Research Database (Denmark)

    Range, Troels Martin; Lusby, Richard Martin; Larsen, Jesper

    In this paper we present a new scheduling problem and describe a shortest path based heuristic as well as a dynamic programming based exact optimization algorithm to solve it. The Selective Multi-Category Parallel-Servicing Problem (SMCPSP) arises when a set of jobs has to be scheduled on a server...... (machine) with limited capacity. Each job requests service in a prespecified time window and belongs to a certain category. Jobs may be serviced partially, incurring a penalty; however, only jobs of the same category can be processed simultaneously. One must identify the best subset of jobs to process...... in each time interval of a given planning horizon while respecting the server capacity and scheduling requirements. We compare the proposed solution methods with a MILP formulation and show that the dynamic programming approach is faster when the number of categories is large, whereas the MILP can...

  13. Solving the selective multi-category parallel-servicing problem

    DEFF Research Database (Denmark)

    Range, Troels Martin; Lusby, Richard Martin; Larsen, Jesper

    2015-01-01

    In this paper, we present a new scheduling problem and describe a shortest path-based heuristic as well as a dynamic programming-based exact optimization algorithm to solve it. The selective multi-category parallel-servicing problem arises when a set of jobs has to be scheduled on a server (machine......) with limited capacity. Each job requests service in a prespecified time window and belongs to a certain category. Jobs may be serviced partially, incurring a penalty; however, only jobs of the same category can be processed simultaneously. One must identify the best subset of jobs to process in each time...... interval of a given planning horizon, while respecting the server capacity and scheduling requirements. We compare the proposed solution methods with a Mixed Integer Linear Programming (MILP) formulation and show that the dynamic programming approach is faster when the number of categories is large...

  14. Categorization and category effects in normal object recognition

    DEFF Research Database (Denmark)

    Gerlach, Christian; Law, I; Gade, A;

    2000-01-01

    To investigate the neural correlates of the structural and semantic stages of visual object recognition and to see whether any effects of category could be found at these stages, we compared the rCBF associated with two categorization tasks (subjects decided whether pictures represented artefacts...... or natural objects), and two object decision tasks (subjects decided whether pictures represented real objects or nonobjects). The categorization tasks differed from each other in that the items presented in the critical scan window were drawn primarily from the category of artefacts in the one task and from...... the category of natural objects in the other. The same was true for the object decision tasks. The experiment thus comprised a two-by-two factorial design. The factors were Task Type with two levels (object decision vs. categorization) and Category also with two levels (natural objects vs. artefacts...

  15. “Expenses” and “costs” as accounting categories

    OpenAIRE

    Еременко, Татьяна Викторовна

    2015-01-01

    Semantic difference of the categories “expenses” and “costs” taking into consideration the semantics, that is determined by the balance sheet conceptions and accounting principles connected with them, has been presented.

  16. Modelling and analysis of the feeding regimen induced entrainment of hepatocyte circadian oscillators using petri nets.

    Directory of Open Access Journals (Sweden)

    Samar Hayat Khan Tareen

    Full Text Available Circadian rhythms are certain periodic behaviours exhibited by living organism at different levels, including cellular and system-wide scales. Recent studies have found that the circadian rhythms of several peripheral organs in mammals, such as the liver, are able to entrain their clocks to received signals independent of other system level clocks, in particular when responding to signals generated during feeding. These studies have found SIRT1, PARP1, and HSF1 proteins to be the major influencers of the core CLOCKBMAL1:PER-CRY circadian clock. These entities, along with abstracted feeding induced signals were modelled collectively in this study using Petri Nets. The properties of the model show that the circadian system itself is strongly robust, and is able to continually evolve. The modelled feeding regimens suggest that the usual 3 meals/day and 2 meals/day feeding regimens are beneficial with any more or less meals/day negatively affecting the system.

  17. Irinotecan-based regimens for recurrent glioblastoma multiforme: [corrected] a systematic review.

    Science.gov (United States)

    Abdel-Rahman, Omar; Fouad, Mona

    2015-01-01

    This systematic review aims to assess irinotecan-based salvage regimens for patients with recurrent glioblastoma multiforme (GBM) beyond first line treatment. Eligible trials were identified using databases search and 25 studies were included in the final analysis. Among the 25 studies, PFS-6 rate was reported in 15 studies and it ranged from 16% to 63%. Median PFS was reported in 18 studies and it ranged from 1 to 7.6 months. While for median OS, it was reported in 17 studies and it ranged from 5.8 months to 17.9 months. The available data suggests that routine use of irinotecan-based salvage regimens cannot be recommended outside the setting of well-controlled prospective randomized studies investigating novel combinations of irinotecan. PMID:26469869

  18. Oral antidiabetic therapy in a large Italian sample: drug supply and compliance for different therapeutic regimens

    CERN Document Server

    Vittorino Gaddi, A; Capello, F; Di Pietro, C; Cinconze, E; Rossi, E; De Sando, V; Cevenini, M; D'Alò, G

    2014-01-01

    Objectives: To define the main features of patients treated with oral antidiabetics, evaluating monotherapy (MT), loose-dose combination therapy (LDCT) and fixed-dose combination therapy (FDCT); to describe medication adherence to the different therapies; and to evaluate the differences in compliance with the prescribed therapy regimen among prevalent and incident patient cohorts. Study design: This study was a retrospective cohort analysis based on the ARNO database, a national record that tracks reimbursable prescription claims submitted from selected pharmacies to the Italian national health system. In total, 169,375 subjects, from an overall population of 4,040,624 were included in this study. The patients represented 12 different local health units. Each patient had at least one oral antidiabetic prescription claim (A10B ATC code). Methods: Patients were divided into four groups according to their treatment regimen during the recruitment period (1 January 2008-31 December 2008): MT, FDCT, LDCT and swi...

  19. Adherence to national guidelines for initiation of antiretroviral regimens in HIV patients: a Danish nationwide study

    DEFF Research Database (Denmark)

    Petersen, TS; Andersen, SE; Gerstoft, Jan;

    2011-01-01

    -four% initiated a recommended regimen or were included in a clinical trial. Intravenous drug use predicted initiation of a non-recommended regimen and delay in start of HAART, while non-Caucasians were less likely to be included in clinical trials. CONCLUSIONS In a Western world setting, the adherence to national......WHAT IS ALREADY KNOW ABOUT THIS SUBJECT • National guidelines for start of highly active antiretroviral treatment (HAART) in HIV infected patients are available in many Western world countries. However the impact of the guidelines on clinical practice is poorly documented. WHAT THIS STUDY ADDS...... risk factors for delayed initiation of treatment and chance of being included in clinical trials. RESULTS The study included 3223 patients, 74% of whom initiated HAART in the study period. Ninety-four% fulfilled the criteria for start of HAART, with minor differences over calendar periods. Ninety...

  20. Triple Active Antiretroviral Regimen Including Enfuvirtide Via the Biojector is Effective and Safe

    Directory of Open Access Journals (Sweden)

    Mona Loutfy

    2007-01-01

    Full Text Available For full HIV virological suppression, three fully active antiretroviral agents are required. New drug classes should be included to ensure that agents are fully active. The addition of enfuvirtide and efavirenz to the present patient’s new antiretroviral regimen ensured that two fully active agents were in use in the setting of a moderate degree of nucleoside resistance and a high level of protease resistance, and where non-nucleoside reverse transcriptase inhibitors were still fully active. Both viral load and CD4 count responded favourably to this regimen. The patient received support from physicians and clinic staff in the introduction and use of enfuvirtide. To reduce injection site reactions, a needle-free injection system (Biojector proved effective.

  1. REPRESENTATION OF POLITICAL CATEGORIES IN THE MINDS OF VOTERS

    OpenAIRE

    Karina Kamelevna Bakuleva

    2015-01-01

    The paper discusses the features of the study of political images and representation of political categories in the minds of voters. We present the results of empirical research, the purpose of which is to study the structure of political images and ideas of modern Russian voters. The subjects of the study are political images and representations of political categories, features of media competence and political behavior of Russian voters. To study of the measured parameters, the following m...

  2. Threat Identification Parameters for a Stolen Category 1 Radioactive Source

    Energy Technology Data Exchange (ETDEWEB)

    Ussery, Larry Eugene [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Winkler, Ryan [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Myers, Steven Charles [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2016-02-18

    Radioactive sources are used very widely for research and practical applications across medicine, industry, government, universities, and agriculture. The risks associated with these sources vary widely depending on the specific radionuclide used to make the source, source activity, and its chemical and physical form. Sources are categorized by a variety of classification schemes according to the specific risk they pose to the public. This report specifically addresses sources that are classified in the highest category for health risk (category 1). Exposure to an unshielded or lightly shielded category 1 source is extremely dangerous to life and health and can be fatal in relatively short exposure times measured in seconds to minutes. A Category 1 source packaged according to the guidelines dictated by the NRC and U.S. Department of Transportation will typically be surrounded by a large amount of dense shielding material, but will still exhibit a significant dose rate in close proximity. Detection ranges for Category 1 gamma ray sources can extend beyond 5000 ft, but will depend mostly on the source isotope and activity, and the level of shielding around the source. Category 1 sources are easy to detect, but difficult to localize. Dose rates in proximity to an unshielded Category 1 source are extraordinarily high. At distances of a few hundred feet, the functionality of many commonly used handheld instruments will be extremely limited for both the localization and identification of the source. Radiation emitted from a Category 1 source will scatter off of both solid material (ground and buildings) and the atmosphere, a phenomenon known as skyshine. This scattering affects the ability to easily localize and find the source.

  3. On generalized category $\\mathcal{O}$ for a quiver variety

    OpenAIRE

    Webster, Ben

    2014-01-01

    In this paper, we give a method for relating the generalized category $\\mathcal{O}$ defined by the author and collaborators to explicit finitely presented algebras, and apply this to quiver varieties. This allows us to describe combinatorially not just the structure of these category $\\mathcal{O}$'s but also how certain interesting families of derived equivalences, the shuffling and twisting functors, act on them. In the case of Nakajima quiver varieties, the algebras that appear are weighted...

  4. The genus and the Lyusternik-Schnirelmann category of preimages

    CERN Document Server

    Karasev, R N

    2010-01-01

    In this paper some axiomatic generalization (function of open subsets) of the relative Lyusternik-Schnirelmann category is considered, incorporating the sectional category and the Schwarz genus as well. For this function and a given continuous map of the underlying space to a finite-dimensional metric space some lower bounds on the value of this function on the (neighborhood of) preimage of some point are given.

  5. Mapping Criminal Law: Blackstone and the Categories of English Jurisprudence

    OpenAIRE

    Lieberman, David

    2002-01-01

    "Mapping Criminal Law" examines attempts by 18th-century common lawyers to identify and delineate criminal law as a discrete and specific component of the legal order, distinguishing the legal categories of 'criminal' from 'civil' and, in this setting, the related distinction between 'public' and 'private'. The discussion focuses on Blackstone's treatment of these matters in the Commentaries: examining the native and foreign legal materials he utilized to assemble a category of law covering w...

  6. Cross-linguistic categories in morphosyntactic typology: Problems and prospects

    DEFF Research Database (Denmark)

    Rijkhoff, Jan

    2016-01-01

    This article offers a new, transparent method to construe morphosyntactic categories for cross-linguistic research. It avoids the problem of categorial confusion attested in major post-Greenbergian studies in morphosyntactic typology, in particular in probabilistic typological investigations, which...... tend to mix up semantic and formal criteria and marginalize ‘statistically insignificant’ morphosyntactic variants. These and other problems are avoided by using functional criteria as the starting point in identifying comparable forms and constructions in different languages. Subsequently formal...

  7. Investigating Consumer Purchase Behavior in Related Technology Product Categories

    OpenAIRE

    S. Sriram; Chintagunta, Pradeep K.; Agarwal, Manoj K.

    2010-01-01

    We present a framework of durable goods purchasing behavior in related technology product categories that incorporates the following aspects unique to technology product purchases. First, it accounts for consumers' anticipation of declining prices (or increasing quality) over time. Second, the durable nature of technology products implies that even if two categories are related as complements, consumers may stagger their purchases over several periods. Third, the forward-looking consumer deci...

  8. Categorical perception of color: evidence from secondary category boundary

    OpenAIRE

    Al-rasheed AS

    2015-01-01

    Abdulrahman Saud Al-rasheed Department of Psychology, King Saud University, Riyadh, Kingdom of Saudi Arabia Abstract: Despite a plethora of behavioral research exploring the phenomenon of color categorical perception (CP) known as "better discrimination between pair of colors stimuli from different categories and pair of colors stimuli from the same category even when the stimulus differences between the pairs of stimuli are equal", most of the evidence for the CP of color ...

  9. Intestinal microbiota of broiler chickens as affected by litter management regimens

    Directory of Open Access Journals (Sweden)

    Zhongtang eYu

    2016-05-01

    Full Text Available Poultry litter is a mixture of bedding materials and enteric bacteria excreted by chickens, and it is typically reused for multiple growth cycles in commercial broiler production. Thus, bacteria can be transmitted from one growth cycle to the next via litter. However, it remains poorly understood how litter reuse affects development and composition of chicken gut microbiota. In this study, the effect of litter reuse on the microbiota in litter and in chicken gut was investigated using 2 litter management regimens: fresh vs. reused litter. Samples of ileal mucosa and cecal digesta were collected from young chicks (10 days of age and mature birds (35 days of age. Based on analysis using DGGE and pyrosequencing of bacterial 16S rRNA gene amplicons, the microbiota of both the ileal mucosa and the cecal contents was affected by both litter management regimen and age of birds. Faecalibacterium, Oscillospira, Butyricicoccus, and one unclassified candidate genus closely related to Ruminococcus were most predominant in the cecal samples, while Lactobacillus was predominant in the ileal samples at both ages and in the cecal samples collected at day 10. At days 10 and 35, 8 and 3 genera, respectively, in the cecal luminal microbiota differed significantly in relative abundance between the 2 litter management regimens. Compared to the fresh litter, reused litter increased predominance of halotolerant/alkaliphilic bacteria and Faecalibacterium prausnitzii, a butyrate-producing gut bacterium. This study suggests that litter management regimens affect the chicken GI microbiota, which may impact the host nutritional status and intestinal health.

  10. Comparison of three different regimens of oral azithromycin in the treatment of acne vulgaris

    OpenAIRE

    Naieni Farahnaz; Akrami Hooman

    2006-01-01

    Background: Acne vulgaris is a common skin disease that involves pilosebaceous units. Oral antibiotics are the most widely administered drugs, which are prescribed as systemic therapy for treatment of moderate to severe acne vulgaris. Azithromycin is one of the antibiotics that has been recently used for acne treatment. There are several protocols of oral azithromycin in the treatment of acne. Objective: To compare three various regimens of oral azithromycin in the treatment of acne. Mate...

  11. In vivo biofilm formation on stainless steel bonded retainers during different oral health-care regimens

    OpenAIRE

    Jongsma, Marije A.; van der Mei, Henny C.; Atema-Smit, Jelly; Busscher, Henk J.; Ren, Yijin

    2015-01-01

    Retention wires permanently bonded to the anterior teeth are used after orthodontic treatment to prevent the teeth from relapsing to pre-treatment positions. A disadvantage of bonded retainers is biofilm accumulation on the wires, which produces a higher incidence of gingival recession, increased pocket depth and bleeding on probing. This study compares in vivo biofilm formation on single-strand and multi-strand retention wires with different oral health-care regimens. Two-centimetre wires we...

  12. Comparison between intramuscular and intravenous regimen of magnesium sulfate in management of severe preeclampsia and eclampsia

    Directory of Open Access Journals (Sweden)

    Vaibhav Kanti

    2015-02-01

    Conclusion:Intramuscular magnesium sulfate regimen is as safe as intravenous magnesium sulfate . Intra muscular magnesium sulfate should be given without any fear and delay in those low resource setups where monitoring only by clinical signs can be done and where patient and institute cannot bear the extra burden of monitoring serum magnesium levels at frequent intervals. [Int J Reprod Contracept Obstet Gynecol 2015; 4(1.000: 195-201

  13. Practical Strategies for Enhancing Adherence to Treatment Regimen in Inflammatory Bowel Disease

    OpenAIRE

    Greenley, Rachel N.; Kunz, Jennifer H.; Walter, Jennifer; Hommel, Kevin A.

    2013-01-01

    Promoting adherence to treatment among pediatric and adult patients with inflammatory bowel disease (IBD) is a critical yet challenging task for health care providers. Several existing interventions to enhance adherence among individuals with IBD offer useful information about practical strategies to enhance adherence. The current review article has 3 goals. First, the review provides a context for understanding treatment regimen adherence in IBD by reviewing key definitional, measurement, an...

  14. The mortality and response rate after FLANG regimen in patients with refractory/relapsed acute leukemia

    Directory of Open Access Journals (Sweden)

    Vali A Mehrzad

    2012-01-01

    Full Text Available Background: Oncologists today are greatly concerned about the treatment of relapsed/refractory acute leukemia. FLANG regimen, combination of novantron, cytarabine, fludarabine, and granulocyte-colony stimulating factor, has been used in treatment of refractory/relapsed acute leukemia since 1990s. The present study has evaluated mortality and response rate of this regimen. Materials and Methods: In this study, 25 patients with refractory/relapsed acute leukemia aged 15-55 years underwent FLANG regimen at Seyed-Al-Shohada Hospital, Isfahan, Iran during 2008-2009. One month later, bone marrow samples were taken to evaluate the responsiveness to treatment. Participants were followed for a year. The data was analyzed by student-t and chi-square tests, logistic, and Cox regression analysis, and Kaplan-Meier curves in SPSS 19. Results: Out of the 25 patients, 8 patients (32% had acute lymphoblastic leukemia (5 refractory and 3 relapsed cases and 17 subjects had acute myeloid leukemia (7 refractory and 10 relapsed cases. According to the bone marrow biopsies taken one month after FLANG regimen, 10 patients (40% had responded to treatment. Five patients of the 10 responders underwent successful bone marrow transplantation (BMT. On the other hand, 13 patients (52%, who had not entered the CR period, died during the follow-up. Logistic regression analysis did not reveal any significant associations between disease type and responsiveness to treatment. Conclusion: This study indicated higher rates of unresponsiveness to treatment while its mortality rate was comparable with other studies. Overall, according to limitations for BMT (as the only chance for cure in Iran, it seems that FLANG therapy is an acceptable choice for these patients.

  15. Daclatasvir-containing all-oral regimens for the treatment of hepatitis C virus infection.

    Science.gov (United States)

    Yang, Sheng-Shun; Kao, Jia-Horng

    2016-03-01

    The treatment of chronic hepatitis C is revolutionizing rapidly. The aim of this study is to review the efficacy and safety of daclatasvir (DCV)-containing all-oral regimens in clinical studies for chronic hepatitis C treatment. Using PubMed and search terms of 'DCV,' 'hepatitis C virus (HCV) treatment,' and 'HCV NS5A inhibitors,' literature on the clinical development of DCV, as well as abstracts presented at the April 2015 annual meeting of the European Association for the Study of the Liver (EASL) and November 2014 annual meeting of the American Association for the Study of Liver Diseases were reviewed. The final search was undertaken on 14 July 2015. With its potent antiviral activity to all HCV genotypes (GT) demonstrated in preclinical, phases 1-3 studies, DCV has been acting as a very competent team player in clinical trials of all-oral regimens. It is generally safe and well tolerated with a low genetic barrier to resistance and low potential for drug-drug interaction. Administered with a non-structural protein 3 (NS3) protease inhibitor (asunaprevir, ASV) with or without a non-nucleoside NS5B polymerase inhibitor (beclabuvir, BCV), or a nucleotide NS5B polymerase inhibitor (sofosbuvir, SOF), DCV is able to achieve greater than a 90-% HCV eradication rate in both treatment-naïve and treatment-experienced patients with GT 1. A triple combination regimen with DCV/ASV/BCV results in 100% sustained virologic response (SVR) rates in HCV GT 4 treatment-naïve subjects. DCV/SOF combination also had demonstrated up to 90-% SVR rates in GT 3-infected non-cirrhotic patients. The efficacy and safety of DCV-containing all-oral regimens highlight a new era of interferon-free therapy for chronic hepatitis C. PMID:26542068

  16. Analysis of combination drug therapy to develop regimens with shortened duration of treatment for tuberculosis.

    Directory of Open Access Journals (Sweden)

    George L Drusano

    Full Text Available Tuberculosis remains a worldwide problem, particularly with the advent of multi-drug resistance. Shortening therapy duration for Mycobacterium tuberculosis is a major goal, requiring generation of optimal kill rate and resistance-suppression. Combination therapy is required to attain the goal of shorter therapy.Our objective was to identify a method for identifying optimal combination chemotherapy. We developed a mathematical model for attaining this end. This is accomplished by identifying drug effect interaction (synergy, additivity, antagonism for susceptible organisms and subpopulations resistant to each drug in the combination.We studied the combination of linezolid plus rifampin in our hollow fiber infection model. We generated a fully parametric drug effect interaction mathematical model. The results were subjected to Monte Carlo simulation to extend the findings to a population of patients by accounting for between-patient variability in drug pharmacokinetics.All monotherapy allowed emergence of resistance over the first two weeks of the experiment. In combination, the interaction was additive for each population (susceptible and resistant. For a 600 mg/600 mg daily regimen of linezolid plus rifampin, we demonstrated that >50% of simulated subjects had eradicated the susceptible population by day 27 with the remaining organisms resistant to one or the other drug. Only 4% of patients had complete organism eradication by experiment end.These data strongly suggest that in order to achieve the goal of shortening therapy, the original regimen may need to be changed at one month to a regimen of two completely new agents with resistance mechanisms independent of the initial regimen. This hypothesis which arose from the analysis is immediately testable in a clinical trial.

  17. Weak Tensor Category and Related Generalized Hopf Algebras

    Institute of Scientific and Technical Information of China (English)

    Fang LI; Gong Xiang LIU

    2006-01-01

    There are at least two kinds of generalization of Hopf algebra, i.e. pre-Hopf algebra and weak Hopf algebra. Correspondingly, we have two kinds of generalized bialgebras, almost bialgebra and weak bialgebra. Let (t) - ((t), (×), I,a,l, r) be a tensor category. By giving up I,l, r and keeping (×), a in (t), the first author got so-called pre-tensor category (t) = ((t),(×), a) and used it to characterize almost bialgebra and pre-Hopf algebra in Comm. in Algebra, 32(2): 397-441 (2004). Our aim in this paper is to generalize tensor category (t) = ((t),(×),I,a,l,r) by weakening the natural isomorphisms l,r,i.e. exchanging the natural isomorphism ll-l = rr-l = id into regular natural transformations (lll) = l, (rrr) = r with some other conditions and get so-called weak tensor category so as to characterize weak bialgebra and weak Hopf algebra. The relations between these generalized (bialgebras) Hopf algebras and two kinds generalized tensor categories will be described by using of diagrams. Moreover, some related concepts and properties about weak tensor category will be discussed.

  18. Adherence to a six-dose regimen of artemether-lumefantrine among uncomplicated Plasmodium falciparum patients in the Tigray Region, Ethiopia

    Directory of Open Access Journals (Sweden)

    Lemma Hailemariam

    2011-12-01

    Full Text Available Abstract Background In 2004, Ethiopia switched its first-line treatment of uncomplicated Plasmodium falciparum malaria from sulphadoxine-pyrimethamine to a fixed artemisinin-based combination therapy (ACT, artemether-lumefantrine (AL. Patient adherence to AL regimen is a major determining factor to achieve the desired therapeutic outcome. The aim of this study was to measure patient adherence levels to the six-dose AL regimen for the treatment of uncomplicated P. falciparum malaria and to identify its determinant factors in rural areas of the Tigray region, Ethiopia Methods The study was conducted under routine health service delivery at health posts level. Patients/caregivers were not informed about their home visit and were traced on the day after they finished the AL regimen. By combining the response to a structured questionnaire and the tablet count from the blister, adherence level was classified into three categories: definitely non-adherent, probably non-adherent and probably adherent. Reasons for being definitely non-adherent were also assessed. For the purpose of examine risk factors, definitely non-adherent and probably non-adherent was merged into a non-adherent group. Variables found significantly associated (p Results Out of the total initially enrolled 180 patients, 86.1% completed the follow-up. Out of these, 38.7% were classified as probably adherent, 34.8% as probably non-adherent, and 26.5% were definitely non-adherent. The most common reasons that definitely non-adherents gave for not taking the full dose were "too many tablets" (37.3% and to "felt better before finished the treatment course" (25.5%. The adherence of the patients was associated with the ownership of a radio (adjusted odd ratio, AOR: 3.8; 95% CI: 1.66-8.75, the belief that malaria can be treated traditionally (AOR: 0.09; 95% CI: 0.01-0.78 and a delay of more than one day in seeking treatment after the onset of fever (AOR: 5.39; 95% CI: 1.83-15.88. Conclusion

  19. Common toxicities and objective response rate in metastatic colorectal cancer patients treated with irinotecan based regimens

    Institute of Scientific and Technical Information of China (English)

    Liu Huang; Xin Liao; Qianqian Yu; Qiang Fu; Kai Qin; Huanlei Wu; Lihong Zhang; Xianglin Yuan

    2013-01-01

    Objective: The aim of our study was to investigate if common toxicities are correlated to objective response rate (ORR) in metastatic colorectal cancer (mCRC) patients treated by irinotecan based regimens. Methods: Univariate and multivariate logistic regression analyses were performed to evaluate correlations between common toxicities and binary ORR in 106 mCRC patients from a prospective cohort treated with irinotecan based regimens. Results: The most frequent severe toxicities (Grade 3/4) were as follows: neutropenia (27.4%), diarrhea (16.9%), leucopenia (12.6%), vomiting (3.2%) and thrombocytopenia (2.1%). Thrombocytosis was observed in 25 (26.3%) patients. ORR was 25.3%. Thrombocytopenia (P = 0.014), line of chemotherapy (P = 0.028) and thrombocytosis (P = 0.033) were correlated with ORR in univariate analysis. In multivariate analysis, thrombocytopenia (odds ratio [OR] = 8.600, 95% confidence interval [CI] = 1.705–43.385, P = 0.009) and first line chemotherapy (OR = 5.155, 95% CI = 1.153–23.256, P = 0.032) positively related to ORR. Conclusion: Throm-bocytopenia may be an indicator of ORR in mCRC patients treated by irinotecan plus 5-fluorouracil/capecitabine. Evidence is not strong enough to prove that irinotecan based regimens-induced diarrhea, leucopenia, neutropenia or vomiting is associ-ated with ORR.

  20. Effects of an overfeeding regimen--the affective component of the sweet sensation.

    Science.gov (United States)

    Fantino, M; Baigts, F; Cabanac, M; Apfelbaum, M

    1983-09-01

    In some isolated parts of North Africa, there persists an ancient Berber custom of imposing an overfeeding regimen on young girls before marriage, to achieve an obesity which is regarded as aesthetically pleasing. We have studied the effect of such a regimen, lasting 12--16 weeks, on blood lipids and on the affective reactions to sweet tastes in nine subjects. It is known that the pleasantness of alimentary cues i.e., the feeding behaviour, depends on the subject's nutritional state. Only three subjects gained weight (by 3,5 and 8 kg), in spite of the strong pressure to overeat. No change in plasma lipid concentrations were observed. Nevertheless, at the end of the regimen every subject showed a highly significant decrease in the rated pleasantness of sweet stimuli when they were tested fasting. However, the reduction in sweet pleasantness induced by ingestion of a 200 ml load of 1.4 M glucose solution was not changed by the overfeeding. Thus, pressure to overfeed can reduce hunger, as seen in the attractiveness of sweet foods in fasted subjects, without modifying glucose-induced satiety. PMID:6582799

  1. In vivo prostacyclin biosynthesis and effects of different aspirin regimens in patients with essential thrombocythaemia.

    Science.gov (United States)

    Cavalca, V; Rocca, B; Squellerio, I; Dragani, A; Veglia, F; Pagliaccia, F; Porro, B; Barbieri, S S; Tremoli, E; Patrono, C

    2014-07-01

    Essential thrombocythaemia (ET) is characterised by enhanced platelet generation and thrombosis. Once daily (od) aspirin incompletely inhibits platelet thromboxane (TX)A2 production in ET. A twice daily (bid) dosing is necessary to fully inhibit TXA2. Whether this dosing regimen affects in vivo prostacyclin (PGI2) biosynthesis is unknown. PGI2 biosynthesis was characterised in 50 ET patients on enteric-coated (EC) aspirin 100 mg od, by measuring its urinary metabolite, 2,3-dinor-6-keto-PGF1α (PGI-M). Moreover, in a crossover study 22 patients poorly responsive to standard aspirin based on serum TXB2 levels (≥4 ng/ml) were randomised to different seven-day aspirin regimens: EC aspirin 100 mg od, 100 mg bid, 200 mg od, or plain aspirin 100 mg od. PGI-M measured 24 hours after the last aspirin intake (EC, 100 mg od) was similar in patients and healthy subjects both on (n=10) and off (n=30) aspirin. PGI-M was unrelated to in vivo TXA2 biosynthesis, and not affected by EC aspirin 100 mg bid or 200 mg od as compared to EC 100 mg od. PGI2 biosynthesis in aspirin-treated ET patients appears unrelated to TXA2 biosynthesis, and not affected by an improved aspirin regimen, demonstrating its vascular safety for future trials. PMID:24671522

  2. Food allergen selective thermal processing regimens may change oral tolerance in infancy.

    Science.gov (United States)

    Kosti, R I; Triga, M; Tsabouri, S; Priftis, K N

    2013-01-01

    Food allergy can be considered a failure in the induction of oral tolerance. Recently, great interest has been focused on understanding the mechanisms and the contributing factors of oral tolerance development, hoping for new definitive interventions in the prevention and treatment of food allergy. Given that food processing may modify the properties and the nature of dietary proteins, several food processing methods could affect the allergenicity of these proteins and consequently may favour oral tolerance induction to food allergic children. Indeed, effective thermal food processing regimens of altering food proteins to reduce allergenicity have been recently reported in the literature. This article is mainly focused on the effect of selective thermal processing regimens on the main infant allergenic foods, with a potential clinical relevance on their allergenicity and therefore on oral tolerance induction. In the light of recent findings, the acquisition of tolerance in younger age and consequently the ability of young children to "outgrow" food allergy could be achieved through the application of selective thermal processing regimens on certain allergenic foods. Therefore, the ability of processed foods to circumvent clinical disease and at the same time to have an impact on the immune system and facilitate tolerance induction could be invaluable as a component of a successful therapeutic strategy. The opening in the new avenues of research in the use of processed foods in clinical practice for the amelioration of the impact on the quality of life of patients and possibly in food allergy prevention is warranted.

  3. Evaluation of Blood Regimen on the Survival of Cimex lectularius L. Using Life Table Parameters

    Directory of Open Access Journals (Sweden)

    Edwin G. Rajotte

    2013-06-01

    Full Text Available Knowledge of bed bug development under varying conditions can lead to more sophisticated management techniques. Development rate, age and stage-specific life tables were compared for a laboratory strain (HS and field strain (ECL-05 of bed bug Cimex lectularius L. (Hemiptera: Heteroptera reared on two blood regimens: human or rabbit blood. Harlan and ECL-05 bed bugs reared on human blood had a life expectancy of 207 and 208 days respectively from the egg stage. Egg to adult development of HS bed bugs reared on human blood (~35 days was significantly longer than that of the ECL-05 strain (~33 days in the third, fourth, and fifth instars. The HS and ECL-05 bed bugs reared on rabbit blood had a life expectancy of 149 and 174 days respectively. Egg to adult development time of HS on rabbit blood (~52 days was significantly longer than ECL-05 (~37 days in every instar, and HS total life span was significantly shorter compared to ECL-05. Developmental differences based on strain and blood regimen suggest rabbit blood is an inferior blood source for colony maintenance, and strain has variable effects on bed bug development. Findings suggest that blood regimen should strongly be considered in bed bug colony maintenance.

  4. Utilization of a Preemptive, Multimodal Analgesic Regimen in Adult Ambulatory Septoplasty Patients: A Quality Improvement Project.

    Science.gov (United States)

    Morgan, Brett; Stanik-Hutt, Julie

    2015-01-01

    This paper describes a quality improvement project designed to decrease postoperative pain, decrease post-operative nausea and vomiting (PONV), decrease time in the recovery room, and increase patient satisfaction in adult ambulatory septoplasty patients using a multimodal, preemptive analgesic regimen. The project was conducted in a community hospital setting with nine operating rooms, and a twenty one bed recovery room. Project participants included certified registered nurse anesthetists, anesthesiologists, operating room nurses, recovery room nurses, and otolaryngology surgeons. Following a period of departmental education, adult patients scheduled for outpatient septoplasty surgery received a preoperative regimen of medications that included gabapentin, celecoxib, and acetaminophen. Using a pre-post test design, (intervention group n = 17, non-intervention group n = 17) data was collected from patient and analyzed using SPSS version 18.0. The change in practice resulted in a significant decrease in pain scores in the recovery room and on discharge from the recovery room. In addition, patients who received the preemptive regimen also required significantly fewer opioid medications and were ready to be discharged from the recovery room in less time. PMID:26753247

  5. Helicobacter pylori:Effect of coexisting diseases and update on treatment regimens

    Institute of Scientific and Technical Information of China (English)

    Shen-Shong; Chang; Hsiao-Yun; Hu

    2015-01-01

    The presence of concomitant diseases is an independentpredictive factor for non-Helicobacter pylori(H. pylori) peptic ulcers. Patients contracting concomitant diseases have an increased risk of developing ulcer disease through pathogenic mechanisms distinct from those of H. pylori infections. Factors other than H. pylori seem critical in peptic ulcer recurrence in end stage renal disease(ESRD) and cirrhotic patients. However, early H. pylori eradication is associated with a reduced risk of recurrent complicated peptic ulcers in patients with ESRD and liver cirrhosis. Resistances to triple therapy are currently detected using culture-based and molecular methods. Culture susceptibility testing before first- or second-line therapy is unadvisable. Using highly effective empiric first-line and rescue regimens can yield acceptable results. Sequential therapy has been included in a recent consensus report as a valid first-line option for eradicating H. pylori in geographic regions with high clarithromycin resistance. Two novel eradication regimens, namely concomitant and hybrid therapy, have proven more effective in patients with dual-(clarithromycin- and metronidazole-) resistant H. pylori strains. We aim to review the prevalence of and eradication therapy for H. pylori infection in patients with ESRD and cirrhosis. Moreover, we summarized the updated H. pylori eradication regimens.

  6. Law of regimens of Li Yu%李渔的养生思想

    Institute of Scientific and Technical Information of China (English)

    胡伟; 刘琴

    2014-01-01

    Li Yu's law of regimens can be attributed to his medical family background, the influence of traditional culture and his accumulation of life experience and understanding. He puts forward the idea that inner peace promotes the well-being of the whole body, and thinks that regimen should be changed seasonally and developed with some regularity under the proper time, contemporary situation, cheerful mind and gentle disposition. Li Yu's law of regimens, of course, provides the ordinaries the science of health and philosophy of life.%李渔养生思想的形成,得益于其医学世家的家庭背景,传统文化的熏染和对生活经验的积累与体悟。李渔提出,“心和则百体皆和”,认为养生需遵循事物变化发展的规律,依据四时变化分别处之,顺时而为,顺势而为,顺心而为,顺性而为。李渔的养生思想,提供普通百姓以养生之理、生活哲学。

  7. Contribution of Oxazolidinones to the Efficacy of Novel Regimens Containing Bedaquiline and Pretomanid in a Mouse Model of Tuberculosis.

    Science.gov (United States)

    Tasneen, Rokeya; Betoudji, Fabrice; Tyagi, Sandeep; Li, Si-Yang; Williams, Kathy; Converse, Paul J; Dartois, Véronique; Yang, Tian; Mendel, Carl M; Mdluli, Khisimuzi E; Nuermberger, Eric L

    2016-01-01

    New regimens based on two or more novel agents are sought to shorten or simplify treatment of tuberculosis (TB). Pretomanid (PMD) is a nitroimidazole in phase 3 trials that has significant bactericidal activity alone and in combination with bedaquiline (BDQ) and/or pyrazinamide (PZA). We previously showed that the novel combination of BDQ+PMD plus the oxazolidinone sutezolid (SZD) had sterilizing activity superior to that of the first-line regimen in a murine model of TB. The present experiments compared the activity of different oxazolidinones in combination with BDQ+PMD with or without PZA in the same model. The 3-drug regimen of BDQ+PMD plus linezolid (LZD) had sterilizing activity approaching that of BDQ+PMD+SZD and superior to that of the first-line regimen. The addition of PZA further enhanced activity. Reducing the duration of LZD to 1 month did not significantly affect the activity of the regimen. Halving the LZD dose or replacing LZD with RWJ-416457 modestly reduced activity over the first month but not after 2 months. AZD5847 and tedizolid also increased the bactericidal activity of BDQ+PMD, but they were less effective than the other oxazolidinones. These results provide optimism for safe, short-course oral regimens for drug-resistant TB that may also be superior to the current first-line regimen for drug-susceptible TB. PMID:26503656

  8. The variability of country map knowledge in normal and aphasic subjects: evidence from two new category-specific screening tests.

    Science.gov (United States)

    Crutch, Sebastian J; Randlesome, Katy; Warrington, Elizabeth K

    2007-09-01

    Two new category-specific screening tests are described, tapping naming to confrontation and word comprehension at two different levels of frequency. Level I consists of 10 very high-frequency items from each of the categories of animals, manmade artefacts, colours, body parts and countries. Level II probes knowledge of 10 marginally lower frequency items from the categories of animals, man-made artefacts, fruits and vegetables, body parts and countries. A standardization study of 120 healthy older adult subjects is reported. Performance at both levels of frequency in all categories except for countries was at or close to ceiling. A retrospective validation study in the form of a review of 20 cases published during the last 20 years demonstrates the utility of the Level I test for screening for category-specific deficits in severely aphasic patients who were not able to complete more demanding formal tests of naming and comprehension. The surprising variability of map knowledge observed in the standardization sample is considered in the light of one previous report and one newly presented case (IRQ) of apparent selective impairment of country map naming skills. PMID:19331016

  9. CT colonography: optimisation, diagnostic performance and patient acceptability of reduced-laxative regimens using barium-based faecal tagging

    OpenAIRE

    Stuart A Taylor; Slater, Andrew; Burling, David N.; Tam, Emily; Greenhalgh, Rebecca; Gartner, Louise; Scarth, Julia; Pearce, Robert; Bassett, Paul; Halligan, Steve

    2007-01-01

    To establish the optimum barium-based reduced-laxative tagging regimen prior to CT colonography (CTC). Ninety-five subjects underwent reduced-laxative (13 g senna/18 g magnesium citrate) CTC prior to same-day colonoscopy and were randomised to one of four tagging regimens using 20 ml 40%w/v barium sulphate: regimen A: four doses, B: three doses, C: three doses plus 220 ml 2.1% barium sulphate, or D: three doses plus 15 ml diatriazoate megluamine. Patient experience was assessed immediately af...

  10. Switch to raltegravir-based regimens and HIV DNA decrease in patients with suppressed HIV RNA

    Directory of Open Access Journals (Sweden)

    Claudia Bianco

    2014-11-01

    Full Text Available Introduction: Raltegravir intensification is associated with an increase in 2-LTR episomal HIV DNA= circles, indicating a persistent low-level replication, in some individuals in ART with suppressed HIV RNA. We aimed at monitoring residual plasma HIV RNA and cellular HIV DNA in virologically suppressed patients switching to a raltegravir-based regimen. Materials and Methods: Forty-six HIV-infected subjects on PI or NNRTI based-regimens, with plasma HIV RNA level 200 cells/µL for ≥12 months were enrolled. Thirty-four patients switched to raltegravir-based regimen (RASTA study group and 12 continued a PI or NNRTI based-regimen (control group. Ultrasensitive HIV residual viremia and total PBMC HIV DNA were assessed at baseline (W0, 24 (W24 and 48 (W48 weeks. HIV RNA levels were determined by an ultrasensitive test derived from a commercial real time PCR (limit of detection 5 copies/ml. A real time PCR was used to quantify HIV DNA copy numbers in PBMCs. Results: At W0, HIV DNA was detected in all patients while at W48 it was detectable in 82.3% of RASTA group vs 100% of controls (p=0.01. The difference between the average values of HIV DNA log10 copies/10°6 CD4 at W0 (median 3.11, IQR 2.70–3.45 and W48 (median 2.87, IQR 2.24–3.38 was statistically significant for RASTA group (p=0.035. Male gender (mean difference −0.37 log10 copies/10°6 PBMC, p=0.023 and previous PI based-ART (mean difference +0.39 log10 copies/10°6 PBMC, p=0.036 were predictive of HIV DNA level at W0. After adjusting for previous PI based-ART, male gender was the only variable independently associated with HIV DNA size at W0 (mean difference −0.326 log10 copies/10°6 PBMC, 95% CI −0.641, −0.011 p=0.043. Ultrasensitive HIV-1 RNA was detectable at W0 in 50% of RASTA group versus 66.7% of controls and at W48 in 32.4% versus 45.5%, respectively. No differences were found between HIV RNA levels at W0 and W48 within and between the two groups. Conclusions: Switching to

  11. Nephrolithiasis and renal failure among patients exposed to atazanavir, other PIs and PI-free regimens

    Directory of Open Access Journals (Sweden)

    Ella Nkhoma

    2014-11-01

    Full Text Available Introduction: Recent single-site studies and case reports have linked atazanavir (ATV with the occurrence of nephrolithiasis. The purpose of this study was to estimate and compare the incidence rate of nephrolithiasis and to characterize the occurrence of subsequent renal failure among patients on ATV, other protease inhibitors (PIs and PI-free regimens using real world data. Materials and Methods: This was a retrospective cohort analysis using claims data from a US commercial and a US public health insurance database (Medicaid spanning 2003–2011 and 2006–2011, respectively. We identified adult HIV patients who were prescribed ATV, other PIs or PI-free regimens with at least 6 months of continuous enrolment prior to the index claim. Nephrolithiasis was defined as an inpatient or outpatient ICD-9 diagnosis code for nephrolithiasis or an associated condition, plus an imaging/corrective procedure code. Renal failure was also identified using diagnosis codes among patients experiencing nephrolithiasis. Hazard ratios were estimated using propensity score (PS adjusted Cox regression, crude and adjusted for demographics, baseline comorbidities and comedications. Results: A total of 14,477 patients (ATV: 4,150; other PIs: 4,153; PI-free: 6,174 were identified in the commercial database: 83% male and 20% age ≥50 years. In the Medicaid database, 9,104 patients (ATV: 3,460; other PIs: 3,117; PI-free: 2,527 were identified: 53% male and 25% age ≥50 years. There were significant baseline differences in demographics, comorbidities and concomitant medications among the three cohorts. In adjusted analyses, ATV use was not significantly associated with nephrolithiasis when compared to other PIs. When ATV was compared to PI-free regimens, a positive association was observed in the commercial insurance but not the Medicaid database. In both databases, previous history of nephrolithiasis was the strongest predictor of nephrolithiasis in the ATV

  12. Response of broiler chickens to different dietary crude protein and feeding regimens

    Directory of Open Access Journals (Sweden)

    JO Oyedeji

    2005-09-01

    Full Text Available Five isocaloric (3200kcal/kg diets were used in an experiment designed to investigate the effects of dietary crude protein (CP and feeding regimens on broiler performance. Day-old broilers were randomly distributed into four groups using a completely randomized design. Each group was replicated three times with ten broiler chicks per replicate. The experiment lasted for eight weeks. Broilers in group 1 received 23% CP from 0 to 3 weeks, 20% CP from 3 to 6 weeks and 18% CP from 6 to 8 weeks, while broilers in group 2 received 23% CP between 0 and 6 weeks and 18% CP between 6 and 8 weeks. Besides, broilers in group 3 were fed 23% CP from 0 to 4 weeks and 16% CP from 4 to 8 weeks, whereas group 4 was given 18% CP from 0 to weeks. Water was supplied ad libitum for broilers in the different dietary groups. A metabolic trial was carried out on the third week of the experiment using a total collection method. Proximate analyses of diets and faecal samples were performed according to the methods outlined by the Association Of the Official Analytical Chemists. Results at market age showed that broiler performance with respect to feed intake, weight gain, feed to gain ratio and water intake were not significantly influenced by CP regimens (p>0.05. Furthermore, CP regimens did not significantly influence broilers liveability (p>0.05. Protein retention, fat utilization and available fiber were not significantly influenced among treatments (p> 0.05. Economic data showed that cost to benefit ratio of producing broilers was comparable among broilers for all CP regimens used in this trial (p>0.05. It was concluded that a single diet of 18% CP and 3200kcal/kg metabolizable energy would be most suitable and convenient for farmers who are engaged in on-farm feed production for broilers as compared with the standard feeding regimens of broiler starter and broiler finisher diets.

  13. Incidental learning of sound categories is impaired in developmental dyslexia.

    Science.gov (United States)

    Gabay, Yafit; Holt, Lori L

    2015-12-01

    Developmental dyslexia is commonly thought to arise from specific phonological impairments. However, recent evidence is consistent with the possibility that phonological impairments arise as symptoms of an underlying dysfunction of procedural learning. The nature of the link between impaired procedural learning and phonological dysfunction is unresolved. Motivated by the observation that speech processing involves the acquisition of procedural category knowledge, the present study investigates the possibility that procedural learning impairment may affect phonological processing by interfering with the typical course of phonetic category learning. The present study tests this hypothesis while controlling for linguistic experience and possible speech-specific deficits by comparing auditory category learning across artificial, nonlinguistic sounds among dyslexic adults and matched controls in a specialized first-person shooter videogame that has been shown to engage procedural learning. Nonspeech auditory category learning was assessed online via within-game measures and also with a post-training task involving overt categorization of familiar and novel sound exemplars. Each measure reveals that dyslexic participants do not acquire procedural category knowledge as effectively as age- and cognitive-ability matched controls. This difference cannot be explained by differences in perceptual acuity for the sounds. Moreover, poor nonspeech category learning is associated with slower phonological processing. Whereas phonological processing impairments have been emphasized as the cause of dyslexia, the current results suggest that impaired auditory category learning, general in nature and not specific to speech signals, could contribute to phonological deficits in dyslexia with subsequent negative effects on language acquisition and reading. Implications for the neuro-cognitive mechanisms of developmental dyslexia are discussed.

  14. Open-ended category learning for language acquisition

    Science.gov (United States)

    Seabra Lopes, Luis; Chauhan, Aneesh

    2008-12-01

    Motivated by the need to support language-based communication between robots and their human users, as well as grounded symbolic reasoning, this paper presents a learning architecture that can be used by robotic agents for long-term and open-ended category acquisition. To be more adaptive and to improve learning performance as well as memory usage, this learning architecture includes a metacognitive processing component. Multiple object representations and multiple classifiers and classifier combinations are used. At the object level, the main similarity measure is based on a multi-resolution matching algorithm. Categories are represented as sets of known instances. In this instance-based approach, storing and forgetting rules optimise memory usage. Classifier combinations are based on majority voting and the Dempster-Shafer evidence theory. All learning computations are carried out during the normal execution of the agent, which allows continuous monitoring of the performance of the different classifiers. The measured classification successes of the individual classifiers support an attentional selection mechanism, through which classifier combinations are dynamically reconfigured and a specific classifier is chosen to predict the category of a new unseen object. A simple physical agent, incorporating these learning capabilities, is used to test the approach. A long-term experiment was carried out having in mind the open-ended nature of category learning. With the help of a human mediator, the agent incrementally learned 68 categories of real-world objects visually perceivable through an inexpensive camera. Various aspects of the approach are evaluated through systematic experiments.

  15. Process for determining the remediation category of hazardous substance sites

    International Nuclear Information System (INIS)

    An evaluation process has been developed that aids in selecting the appropriate remediation category of hazardous substance sites. Three general remediation categories have been established: No further Action: Potential Early Action: and Defer for RI/FS or Transition/Decontamination and Decommissioning. This evaluation method is a preliminary screening process only and will not identify the most appropriate remediation alternative for each site. The remedy selection process can proceed only after a remediation category is determined for each site. All sites are evaluated at a preliminary screening level to determine the general remediation category. After the first screen, a secondary evaluation is performed on both the PEA sites and the DEFER sites. For PEAs, this secondary evaluation will incorporate additional specific factors, such as a screening level risk assessment. For the DEFER sites feasibility factors will be used to distinguish between the sites which should undergo a normal RI/FS and the sites which will be recommended to be remediated in association with D ampersand D of buildings. Ultimately, all of the sites will be placed into one of four remediation categories

  16. Effect of explicit dimensional instruction on speech category learning.

    Science.gov (United States)

    Chandrasekaran, Bharath; Yi, Han-Gyol; Smayda, Kirsten E; Maddox, W Todd

    2016-02-01

    Learning nonnative speech categories is often considered a challenging task in adulthood. This difficulty is driven by cross-language differences in weighting critical auditory dimensions that differentiate speech categories. For example, previous studies have shown that differentiating Mandarin tonal categories requires attending to dimensions related to pitch height and direction. Relative to native speakers of Mandarin, the pitch direction dimension is underweighted by native English speakers. In the current study, we examined the effect of explicit instructions (dimension instruction) on native English speakers' Mandarin tone category learning within the framework of a dual-learning systems (DLS) model. This model predicts that successful speech category learning is initially mediated by an explicit, reflective learning system that frequently utilizes unidimensional rules, with an eventual switch to a more implicit, reflexive learning system that utilizes multidimensional rules. Participants were explicitly instructed to focus and/or ignore the pitch height dimension, the pitch direction dimension, or were given no explicit prime. Our results show that instruction instructing participants to focus on pitch direction, and instruction diverting attention away from pitch height, resulted in enhanced tone categorization. Computational modeling of participant responses suggested that instruction related to pitch direction led to faster and more frequent use of multidimensional reflexive strategies and enhanced perceptual selectivity along the previously underweighted pitch direction dimension.

  17. Novel four-drug salvage treatment regimens after failure of a human immunodeficiency virus type 1 protease inhibitor-containing regimen: antiviral activity and correlation of baseline phenotypic drug susceptibility with virologic outcome.

    Science.gov (United States)

    Deeks, S G; Hellmann, N S; Grant, R M; Parkin, N T; Petropoulos, C J; Becker, M; Symonds, W; Chesney, M; Volberding, P A

    1999-06-01

    Twenty human immunodeficiency virus-infected patients experiencing virologic failure of an indinavir- or ritonavir-containing treatment regimen were evaluated in a prospective, open-label study. Subjects received nelfinavir, saquinavir, abacavir, and either another nucleoside analog (n=10) or nevirapine (n=10). Patients treated with the nevirapine-containing regimen experienced significantly greater virologic suppression at week 24 than those not treated with nevirapine (P=.04). Baseline phenotypic drug susceptibility was strongly correlated with outcome in both treatment arms. Subjects with baseline virus phenotypically sensitive to 2 or 3 drugs in the salvage regimen experienced significantly greater virus load suppression than those with baseline virus sensitive to 0 or 1 drug (median week-24 change=-2.24 log and -0.35 log, respectively; P=.01). In conclusion, non-nucleoside reverse transcriptase inhibitors may represent a potent drug in salvage therapy regimens after failure of an indinavir or ritonavir regimen. Phenotypic resistance testing may provide a useful tool for selecting more effective salvage regimens. PMID:10228057

  18. Transmission of HIV Drug Resistance and the Predicted Effect on Current First-line Regimens in Europe

    NARCIS (Netherlands)

    L.M. Hofstra (L. Marije); N. Sauvageot (Nicolas); J. Albert (Jan); I. Alexiev (Ivailo); F. Garcia (Federico); D. Struck (Daniel); D.A.M.C. van de Vijver (David); B. Asjö (Birgitta); D. Beshkov (Danail); S. Coughlan (Suzie); D. Descamps (Diane); A. Griskevicius (Algis); O. Hamouda (Osamah); A. Horban (Andrzej); M.E.E. van Kasteren (Marjo); T. Kolupajeva (Tatjana); L.G. Kostrikis (Leondios); K. Liitsola (Kirsi); M. Linka (Marek); O. Mor (Orna); C. Nielsen (Claus); D. Otelea (Dan); D. Paraskevis (Dimitrios); R. Paredes (Roger); M. Poljak (Mario); E. Puchhammer-Stockl E. (E.); A. Sonnerborg (Anders); D. Stanekova (Danica); M. Stanojevic (Maja); K. Van Laethem (Kristel); M. Zazzi (Maurizio); S. Zidovec Lepej (Snjezana); C.A.B. Boucher (Charles A. B.); J.-C. Schmit (Jean-Claude); A.M.J. Wensing (Annemarie); E. Puchhammer-Stöckl (Elisabeth); M. Sarcletti (M.); B. Schmied (B.); M. Geit (M.); G. Balluch (G.); A.-M. Vandamme; J. Vercauteren (Jurgen); I. Derdelinckx; A. Sasse; M. Bogaert; H. Ceunen (H.); A. de Roo (Annie); S. De Wit; F. Echahidi (F.); K. Fransen; J.-C. Goffard (J.); P. Goubau; E. Goudeseune (E.); J.-C. Yombi (J.); P. Lacor; C. Liesnard (C.); M. Moutschen; L.A. Pierard; R. Rens (R.); J. Schrooten; D. Vaira; L.P.R. Vandekerckhove; A. van den Heuvel (A.); B. van der Gucht (B.); M. Van Ranst; E. Van Wijngaerden; B. Vandercam; M. Vekemans; C. Verhofstede; N. Clumeck (N.); K. van Laethem (Kristel); D. Beshkov; I. Alexiev; S.Z. Lepej (Snjezana); J. Begovac; L.G. Kostrikis (Leondios); I. Demetriades (I.); I. Kousiappa (Ioanna); V.L. Demetriou (Victoria); J. Hezka (Johana); M. Linka; M. Maly; L. MacHala; C. Nielsen; L.B. Jørgensen; J. Gerstoft (J.); L. Mathiesen (L.); C. Pedersen (Court); H. Nielsen; A. Laursen (A.); B. Kvinesdal (B.); K. Liitsola (Kirsi); M. Ristola (M.); J. Suni; J. Sutinen (J.); D. Descamps; L. Assoumou; G. Castor; M. Grude; P. Flandre; A. Storto; O. Hamouda (Osamah); C. K̈ucherer (C.); T. Berg; P. Braun; G. Poggensee; M. Daumer (Martin); J. Eberle; H. Heiken; R. Kaiser; H. Knechten (H.); K. Korn; H. Müller; S. Neifer; B. Schmidt; H. Walter; B. Gunsenheimer-Bartmeyer (B.); T. Harrer (T.); D. Paraskevis (Dimitrios); A. Hatzakis (Angelos); A. Zavitsanou (A.); A. Vassilakis; M. Lazanas; L. Chini; A. Lioni; V. Sakka (V.); S. Kourkounti (S.); V. Paparizos (V.); A. Antoniadou (A.); A. Papadopoulos; G. Poulakou; I. Katsarolis; K. Protopapas; G. Chryssos (G.); S. Drimis (S.); P. Gargalianos; G. Xylomenos; G. Lourida; M. Psichogiou (M.); G.L. Daikos (G.); N.V. Sipsas; A. Kontos (Angelos); M.N. Gamaletsou; G. Koratzanis (G.); H. Sambatakou; H. Mariolis; A. Skoutelis; V. Papastamopoulos; O. Georgiou; P. Panagopoulos (P.); E. Maltezos; S. Coughlan (Suzie); C. de Gascun (Cillian); C. Byrne; M. Duffy; P. Bergin; D. Reidy; G. Farrell; J. Lambert; E. O'Connor; A. Rochford; J. Low; P. Coakely (P.); S. O'Dea; W. Hall; O. Mor; I. Levi (I.); D. Chemtob (D.); Z. Grossman (Zehava); M. Zazzi; A. de Luca (Andrea); C. Balotta (Claudia); C. Riva (Chiara); C. Mussini (C.); I. Caramma (I.); A. Capetti (A.); M. Colombo (Massimo); C. Rossi; F. Prati (Francesco); F. Tramuto; F. Vitale (F.); M. Ciccozzi; G. Angarano (Guiseppe); G. Rezza (G.); T. Kolupajeva; O. Vasins; A. Griskevicius (Algis); V. Lipnickiene; J.C. Schmit; D. Struck (Daniel); N. Sauvageot; R. Hemmer (R.); V. Arendt (V.); C. Michaux; T. Staub (T.); C. Sequin-Devaux; A.M.J. Wensing (Annemarie); C.A.B. Boucher (Charles); D.A.M.C. van de Vijver (David); A. Van Kessel; P.H.M. Van Bentum; K. Brinkman; B.J. Connell; M.E. van der Ende (Marchina); I.M. Hoepelman (Ilja Mohandas); M.E.E. van Kasteren (Marjo); M. Kuipers; N. Langebeek (Nienke); C. Richter; R.M.W.J. Santegoets (R. M W J); L. Schrijnders-Gudde (L.); R. Schuurman; B.J.M. van de Ven (B. J M); B. Åsjö (Birgitta); A.-M.B. Kran (A.-M. Bakken); V. Ormaasen (Vidar); P. Aavitsland (P.); A. Horban (Andrzej); J. Stanczak (J.); G.P. Stanczak (G.); E. Firlag-Burkacka (E.); A. Wiercinska-Drapalo; E. Jablonowska (E.); E. Maolepsza; M. Leszczyszyn-Pynka (M.); W. Szata (W.); R.J. Camacho (Ricardo Jorge); A. de Palma (Andre); F. Borges (F.); T. Paixão; V. Duque (V.); F. Araújo; D. Otelea; C. Paraschiv (Corina); A.M. Tudor; R. Cernat; C. Chiriac; F. Dumitrescu; L.J. Prisecariu; M. Stanojevic (Maja); D.J. Jevtovic (D.); D. Salemovic (D.); D. Stanekova; M. Habekova (M.); Z. Chabadová; T. Drobkova; P. Bukovinova; A. Shunnar; P. Truska; M. Poljak (Mario); M.M. Lunar (Maja M.); D. Babic; J. Tomazic (J.); S. Vidmar (Suzanna); T. Vovko; P. Karner (P.); F. Garcia; R. Paredes (Roger); S. Monge; S. Moreno; J. Del Amo; V. Asensi; J.L. Sirvent

    2016-01-01

    textabstractBackground. Numerous studies have shown that baseline drug resistance patterns may influence the outcome of antiretroviral therapy. Therefore, guidelines recommend drug resistance testing to guide the choice of initial regimen. In addition to optimizing individual patient management, the

  19. Intensified regimen containing rifampicin and moxifloxacin for tuberculous meningitis: an open-label, randomised controlled phase 2 trial.

    NARCIS (Netherlands)

    Ruslami, R.; Ganiem, A.R.; Dian, S.; Apriani, L.; Achmad, T.H.; Ven, A.J.A.M. van der; Borm, G.F.; Aarnoutse, R.E.; Crevel, R. van

    2013-01-01

    BACKGROUND: Intensified antibiotic treatment might improve the outcome of tuberculous meningitis. We assessed pharmacokinetics, safety, and survival benefit of several treatment regimens containing high-dose rifampicin and moxifloxacin in patients with tuberculous meningitis in a hospital setting. M

  20. Treatment of mid-late stage NSCLC using sodium cantharidinate/vitamin B6/GP regimen in clinic

    Directory of Open Access Journals (Sweden)

    Baoli Wang

    2014-01-01

    Conclusion: Sodium cantharidinate/vitamin B6/GP regimen had fair effectiveness and synergistically improved the clinical outcomes. It lowered the toxic/adverse effects and its application is worth further investigation and promotion.

  1. Effect of yoga regimen on lung functions including diffusion capacity in coronary artery disease patients: A randomized controlled study

    Directory of Open Access Journals (Sweden)

    Asha Yadav

    2015-01-01

    Conclusions: Yoga regimen was found to improve lung functions and diffusion capacity in CAD patients besides improving cardiovascular functions. Thus, it can be used as a complimentary or adjunct therapy along with the conventional medicine for their treatment and rehabilitation.

  2. DB Category: Denotational Semantics for View-based Database Mappings

    CERN Document Server

    Majkic, Zoran

    2011-01-01

    We present a categorical denotational semantics for a database mapping, based on views, in the most general framework of a database integration/exchange. Developed database category DB, for databases (objects) and view-based mappings (morphisms) between them, is different from Set category: the morphisms (based on a set of complex query computations) are not functions, while the objects are database instances (sets of relations). The logic based schema mappings between databases, usually written in a highly expressive logical language (ex. LAV, GAV, GLAV mappings, or tuple generating dependency) may be functorially translated into this "computation" category DB. A new approach is adopted, based on the behavioral point of view for databases, and behavioral equivalences for databases and their mappings are established. By introduction of view-based observations for databases, which are computations without side-effects, we define a fundamental (Universal algebra) monad with a power-view endofunctor T. The resul...

  3. Quantum field theories on categories fibered in groupoids

    CERN Document Server

    Benini, Marco

    2016-01-01

    We introduce an abstract concept of quantum field theory on categories fibered in groupoids over the category of spacetimes. This provides us with a general and flexible framework to study quantum field theories defined on spacetimes with extra geometric structures such as bundles, connections and spin structures. Using right Kan extensions, we can assign to any such theory an ordinary quantum field theory defined on the category of spacetimes and we shall clarify under which conditions it satisfies the axioms of locally covariant quantum field theory. The same constructions can be performed in a homotopy theoretic framework by using homotopy right Kan extensions, which allows us to obtain first examples of homotopical quantum field theories resembling some aspects of gauge theories.

  4. Structural similarity and category-specificity: a refined account

    DEFF Research Database (Denmark)

    Gerlach, Christian; Law, Ian; Paulson, Olaf B.

    2004-01-01

    It has been suggested that category-specific recognition disorders for natural objects may reflect that natural objects are more structurally (visually) similar than artefacts and therefore more difficult to recognize following brain damage. On this account one might expect a positive relationship...... between blood flow and structural similarity in areas involved in visual object recognition. Contrary to this expectation we report a negative relationship in that identification of articles of clothing cause more extensive activation than identification of vegetables/fruit and animals even though items...... from the categories of animals and vegetables/fruit are rated as more structurally similar than items from the category of articles of clothing. Given that this pattern cannot be explained in terms of a tradeoff between activation and accuracy, we interpret these findings within a model where...

  5. Parsing Combinatory Categorial Grammar with Answer Set Programming: Preliminary Report

    CERN Document Server

    Lierler, Yuliya

    2011-01-01

    Combinatory categorial grammar (CCG) is a grammar formalism used for natural language parsing. CCG assigns structured lexical categories to words and uses a small set of combinatory rules to combine these categories to parse a sentence. In this work we propose and implement a new approach to CCG parsing that relies on a prominent knowledge representation formalism, answer set programming (ASP) - a declarative programming paradigm. We formulate the task of CCG parsing as a planning problem and use an ASP computational tool to compute solutions that correspond to valid parses. Compared to other approaches, there is no need to implement a specific parsing algorithm using such a declarative method. Our approach aims at producing all semantically distinct parse trees for a given sentence. From this goal, normalization and efficiency issues arise, and we deal with them by combining and extending existing strategies. We have implemented a CCG parsing tool kit - AspCcgTk - that uses ASP as its main computational mean...

  6. A Compositional Treatment of Polysemous Arguments in Categorial Grammar

    CERN Document Server

    Mineur, A M; Mineur, Anne-Marie; Buitelaar, Paul

    1995-01-01

    We discuss an extension of the standard logical rules (functional application and abstraction) in Categorial Grammar (CG), in order to deal with some specific cases of polysemy. We borrow from Generative Lexicon theory which proposes the mechanism of {\\em coercion}, next to a rich nominal lexical semantic structure called {\\em qualia structure}. In a previous paper we introduced coercion into the framework of {\\em sign-based} Categorial Grammar and investigated its impact on traditional Fregean compositionality. In this paper we will elaborate on this idea, mostly working towards the introduction of a new semantic dimension. Where in current versions of sign-based Categorial Grammar only two representations are derived: a prosodic one (form) and a logical one (modelling), here we introduce also a more detaled representation of the lexical semantics. This extra knowledge will serve to account for linguistic phenomena like {\\em metonymy\\/}.

  7. Efficacy and safety of the HAA regimen as induction chemotherapy in 236 de novo acute myeloid leukemia

    Institute of Scientific and Technical Information of China (English)

    叶佩佩

    2013-01-01

    Objective To evaluate the efficacy and safety of the HAA regimen (homoharringtonine,cytarabine and aclarubicin) as induction chemotherapy in de novo acute myeloid leukemia (AML) .Methods The efficacy and safety of 236 de novo AML patients who received the HAA regimen as induction chemotherapy were retrospectively analyzed.The complete remission (CR) rate was assayed.Kaplan-Meier method was used to estimate overall survival (OS) and relapse free survival (RFS) ,and the differ-

  8. Development of optimal infusion regimens for epoprostenol using radio labelled platelet uptake over atherosclerotic lesions in man.

    OpenAIRE

    Sinzinger, H.; Fitscha, P; Kaliman, J; Silberbauer, K; O'Grady, J.

    1987-01-01

    1. Epoprostenol (prostacyclin, PGI2) has been evaluated in clinical trials in peripheral vascular disease and other conditions chiefly on the basis of its platelet inhibitory properties. These therapeutic evaluations have proceeded in the absence of evidence as to the optimum infusion regimen for epoprostenol and the choice of schedules of administration has been arbitrary. We have tried to establish an optimum infusion regimen in patients with peripheral vascular disease in terms of maximal ...

  9. Pilot Study of 15 Patients Receiving a New Treatment Regimen for Androgenic Alopecia: The Effects of Atopy on AGA

    OpenAIRE

    Rafi, A. W.; Katz, R. M.

    2011-01-01

    Background. We examined the efficacy of a new regimen to treat AGA, with attention to male patients who are atopic. Objective. To assess the efficacy of a four-part regimen for the treatment of AGA in atopic and nonatopic patients. NuH Hair is a novel topical combination of finasteride, dutasteride, and minoxidil, which is blended in a hypoallergenic lotion. The other three components included Rogaine foam, Propecia, and ketoconazole shampoo. Methods. A prospective pilot study was conducted i...

  10. CT colonography: optimisation, diagnostic performance and patient acceptability of reduced-laxative regimens using barium-based faecal tagging

    International Nuclear Information System (INIS)

    To establish the optimum barium-based reduced-laxative tagging regimen prior to CT colonography (CTC). Ninety-five subjects underwent reduced-laxative (13 g senna/18 g magnesium citrate) CTC prior to same-day colonoscopy and were randomised to one of four tagging regimens using 20 ml 40%w/v barium sulphate: regimen A: four doses, B: three doses, C: three doses plus 220 ml 2.1% barium sulphate, or D: three doses plus 15 ml diatriazoate megluamine. Patient experience was assessed immediately after CTC and 1 week later. Two radiologists graded residual stool (1: none/scattered to 4: >50% circumference) and tagging efficacy for stool (1: untagged to 5: 100% tagged) and fluid (1: untagged, 2: layered, 3: tagged), noting the HU of tagged fluid. Preparation was good (76-94% segments graded 1), although best for regimen D (P = 0.02). Across all regimens, stool tagging quality was high (mean 3.7-4.5) and not significantly different among regimens. The HU of layered tagged fluid was higher for regimens C/D than A/B (P = 0.002). Detection of cancer (n = 2), polyps ≥6 mm (n = 21), and ≤5 mm (n = 72) was 100, 81 and 32% respectively, with only four false positives ≥6 mm. Reduced preparation was tolerated better than full endoscopic preparation by 61%. Reduced-laxative CTC with three doses of 20 ml 40% barium sulphate is as effective as more complex regimens, retaining adequate diagnostic accuracy. (orig.)

  11. Clinical study of COAD-B regimen in treatment of patients with relapsed /refractory nonHodgkin lymphoma

    Institute of Scientific and Technical Information of China (English)

    李明会

    2013-01-01

    Objective To investigate the efficacy,adverse events and long-term survival of cyclophosphamide,vindesine,cytarabine,dexamethasone and bleomycin (COAD-B) regimen for relapsed and refractory nonHodgkin lymphoma (NHL) .Methods Eighty six patients diagnosed with relapsed or refractory NHL were included in our study from January 2007 to January 2013.The chemotherapy regimen was COAD-B,the therapeutic efficacy was evaluated every 2 courses.Once the stable disease (SD) or progress of the disease (PD) achieved,

  12. Fitness to drive measures for chronic user of ICADTS category III drugs; ‘do not drive’. Advise them do drive if they are fit for it.

    NARCIS (Netherlands)

    Dijksterhuis, Chris; Veldstra, Janet; de Waard, Dick; Brookhuis, Karel

    2014-01-01

    The International Council on Alcohol, Drugs, and Traffic Safety (ICADTS) classifies the impairing properties of medicinal drugs on driving performance into one of three categories; presumed safe (I), moderate adverse effects (II), and potentially dangerous (III). In the Netherlands for example, the

  13. TBscore II

    DEFF Research Database (Denmark)

    Rudolf, Frauke; Lemvik, Grethe; Abate, Ebba;

    2013-01-01

    Abstract Background: The TBscore, based on simple signs and symptoms, was introduced to predict unsuccessful outcome in tuberculosis patients on treatment. A recent inter-observer variation study showed profound variation in some variables. Further, some variables depend on a physician assessing...... them, making the score less applicable. The aim of the present study was to simplify the TBscore. Methods: Inter-observer variation assessment and exploratory factor analysis were combined to develop a simplified score, the TBscore II. To validate TBscore II we assessed the association between start...

  14. The representation of material categories in the brain

    Directory of Open Access Journals (Sweden)

    Richard Henrikus Augustinus Hubertus Jacobs

    2014-03-01

    Full Text Available Using textures mapped onto virtual nonsense objects, it has recently been shown that early visual cortex plays an important role in processing material properties. Here, we examined brain activation to photographs of materials, consisting of wood, stone, metal and fabric surfaces. These photographs were close-ups in the sense that the materials filled the image. In the first experiment, observers categorized the material in each image (i.e., wood, stone, metal, or fabric, while in an fMRI-scanner. We predicted the assigned material category using the obtained voxel patterns using a linear classifier. Region-of-interest and whole-brain analyses demonstrated material coding in the early visual regions, with lower accuracies for more anterior regions. There was little evidence for material coding in other brain regions. In the second experiment, we used an adaptation paradigm to reveal additional brain areas involved in the perception of material categories. Participants viewed images of wood, stone, metal, and fabric, presented in blocks with images of either different material categories (no adaptation or images of different samples from the same material category (material adaptation. To measure baseline activation, blocks with the same material sample were presented (baseline adaptation. Material adaptation effects were found mainly in the parahippocampal gyrus, in agreement with fMRI-studies of texture perception. Our findings suggest that the parahippocampal gyrus, early visual cortex, and possibly the supramarginal gyrus are involved in the perception of material categories, but in different ways. The different outcomes from the two studies are likely due to inherent differences between the two paradigms. A third experiment suggested, based on anatomical overlap between activations, that spatial frequency information is important for within-category material discrimination.

  15. Brand importance across product categories in the Czech Republic

    Directory of Open Access Journals (Sweden)

    Formánek Tomáš

    2016-04-01

    Full Text Available This paper deals with customer loyalty to brands and provides an analysis of brand-related attitudes among Czech consumers. Brand loyalty is a very important aspect of competitive marketing and we contribute an empirically supported point of view on the topic. Based on primary data from a complex consumer survey carried out for the purpose of this study, we investigate the extent of brand loyalty across different product categories, mostly fast moving consumer goods (FMCG. For convenience, the analysis of our survey-data may be divided in two main areas. First, product categories are ranked according to their potential power to attract customers’ interest and loyalty towards brands. When loyalty programs are prepared, it is important to discern product categories where loyalty potential is weak from those categories that attract consumer loyalty. Second, sociodemographic features and lifestyle factors from the survey are evaluated with respect to different product categories, by means of logistic regression and subsequent average partial effect (APE analysis. A detailed and practically oriented interpretation of the empirical results is provided by the authors. However, both corporate marketers and academic readers can use the tables with empirical estimation outputs that are provided in this article to draw their own conclusions, which may be focused on the product category of interest and/or focused on any specific consumer group that is of particular interest. Among other topics, this paper emphasizes the fact that brand loyalty is a highly complex phenomenon and that it can and should be analysed from different perspectives.

  16. National Variation in Use of Immunosuppression for Kidney Transplantation: A Call for Evidence-Based Regimen Selection.

    Science.gov (United States)

    Axelrod, D A; Naik, A S; Schnitzler, M A; Segev, D L; Dharnidharka, V R; Brennan, D C; Bae, S; Chen, J; Massie, A; Lentine, K L

    2016-08-01

    Immunosuppression management in kidney transplantation has evolved to include an increasingly diverse choice of medications. Although informed by patient and donor characteristics, choice of immunosuppression regimen varies widely across transplant programs. Using a novel database integrating national transplant registry and pharmacy fill records, immunosuppression use at 6-12 and 12-24 mo after transplant was evaluated for 22 453 patients transplanted in 249 U.S. programs in 2005-2010. Use of triple immunosuppression comprising tacrolimus, mycophenolic acid or azathioprine, and steroids varied widely (0-100% of patients per program), as did use of steroid-sparing regimens (0-77%), sirolimus-based regimens (0-100%) and cyclosporine-based regimens (0-78%). Use of triple therapy was more common in highly sensitized patients, women and recipients with dialysis duration >5 years. Sirolimus use appeared to diminish over the study period. Patient and donor characteristics explained only a limited amount of the observed variation in regimen use, whereas center choice explained 30-46% of the use of non-triple-therapy immunosuppression. The majority of patients who received triple-therapy (79%), cyclosporine-based (87.6%) and sirolimus-based (84.3%) regimens continued them in the second year after transplant. This population-based study of immunosuppression practice demonstrates substantial variation in center practice beyond that explained by differences in patient and donor characteristics. PMID:26901466

  17. On the loop space of a 2-category

    CERN Document Server

    del Hoyo, Matias L

    2010-01-01

    Every small category $C$ has a classifying space $BC$ associated in a natural way. This construction can be extended to other contexts and set up a fruitful interaction between categorical structures and homotopy types. In this paper we study the classifying space $B_2C$ of a 2-category $C$ and prove that, under certain conditions, the loop space $\\Omega_c B_2C$ can be recovered up to homotopy from the endomorphisms of a given object. We also present several subsidiary results that we develop to prove our main theorem.

  18. The Hall module of an exact category with duality

    OpenAIRE

    Young, Matthew B.

    2012-01-01

    We construct from a finitary exact category with duality a module over its Hall algebra, called the Hall module, encoding the first order self-dual extension structure of the category. We study in detail Hall modules arising from the representation theory of a quiver with involution. In this case we show that the Hall module is naturally a module over the specialized reduced sigma-analogue of the quantum Kac-Moody algebra attached to the quiver. For finite type quivers, we explicitly determin...

  19. Evaluation of Bosniak category IIF complex renal cysts

    DEFF Research Database (Denmark)

    Graumann, Ole; Osther, Susanne Sloth; Karstoft, Jens;

    2013-01-01

    PURPOSE: To evaluate moderately complex renal cysts of Bosniak category IIF. MATERIALS AND METHODS: The regional ethics committee approved the study. In the period 2003-2009, radiological CT reports of 8,402 CT examinations of the kidneys were analysed retrospectively by one radiologist. All...... nephron-sparing approach to complex renal cysts. TEACHING POINTS : • The Bosniak classification is used to categorise complex renal cystic masses • BIIF cysts behave mostly as benign lesions • Radiological progression in complexity occurs in only 16 % of cases • BIIF category seems promising for clinical...

  20. On Self-Predicative Universals in Category Theory

    OpenAIRE

    Ellerman, David

    2014-01-01

    1. This paper shows how the universals of category theory in mathematics provide a model (in the Platonic Heaven of mathematics) for the self-predicative strand of Plato's Theory of Forms as well as for the idea of a "concrete universal" in Hegel and similar ideas of paradigmatic exemplars in ordinary thought. 2. The paper also shows how the always-self-predicative universals of category theory provide the "opposite bookend" to the never-self-predicative universals of iterative set theory and...